592 results match your criteria Ureteral Injury During Gynecologic Surgery


[Effectiveness of vaginal high uterosacral ligament suspension for treatment of recurrent pelvic organ prolapse].

Zhonghua Fu Chan Ke Za Zhi 2019 Apr;54(4):232-238

Department of Obstetrics and Gynecology, Fourth Medical Center of PLA General Hospital, Beijing 100048, China.

To evaluate the indications and clinic outcomes of vaginal high uterosacral ligament suspension (HUS) for treatment of recurrent advanced pelvic organ prolapse (POP). This retrospective study analyzed 42 women with recurrent advanced POP who were referred to Fourth Medical Center of PLA General Hospital and underwent transvaginal HUS between November 2005 and January 2018. Primary surgeries included 30 vaginal colporrhaphy, 5 Manchester operation, 5 transvaginal mesh repair,2 sacrospinous ligament fixation. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2019.04.004DOI Listing

[Prophylactic hysterectomy in Lynch syndrome: feasibility and outcomes].

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Chirurgie Cancérologique Gynécologique et du Sein, Paris, France; Université Paris Descartes, INSERM UMR-S 747, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address:

Objectives: Lynch syndrome (LS) is a hereditary predisposition to cancers, first of all, colo-rectal and endometrial cancers in women. Although recommended, gynecologic screening has never proven its benefit. Prophylactic surgery can be consider once the parental project is completed. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.04.010DOI Listing

Factors in delay of diagnosis of gynecologic ureteral injuries at a rural academic hospital.

Int Urogynecol J 2019 Apr 16. Epub 2019 Apr 16.

Departments of Obstetrics & Gynecology, School of Medicine, West Virginia University, PO Box 9186, Robert C. Byrd Health Sciences Center, Morgantown, WV, 26506, USA.

Introduction And Hypothesis: Ureteral injuries are a source of morbidity, and delays in diagnosis can increase the risk for long-term sequelae. Our aim was to quantify and describe iatrogenic ureteral injuries in a rural tertiary care center. Our secondary goal was to evaluate the impact of delayed diagnosis of ureteral injury on patient outcomes and whether cystoscopy had any influence on these outcomes. Read More

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http://link.springer.com/10.1007/s00192-019-03949-2
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http://dx.doi.org/10.1007/s00192-019-03949-2DOI Listing
April 2019
2 Reads

Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis.

Sao Paulo Med J 2018 Sep-Oct;136(5):385-389

MD. Associate Professor, Department of Obstetrics and Gynecology, Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Background: The number of hysterectomized patients with previous cesarean sections (CSs) has increased due to increasing CS rates. A previous history of CS has been demonstrated to be an important risk factor for major complications in total laparoscopic hysterectomy. The aim here was to evaluate the major complications and safety of TLH in patients with previous CS. Read More

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http://dx.doi.org/10.1590/1516-3180.2018.0197030718DOI Listing
February 2019
14 Reads

Litigations Involving Ureteral Injury Related to Minimally Invasive Gynecologic Surgery: Lessons Learned from a Legal Literature Review.

J Minim Invasive Gynecol 2018 Nov 17. Epub 2018 Nov 17.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland (all authors).

Ureteral injury is a known complication of minimally invasive gynecologic surgery. Despite being discussed preoperatively and included in consent forms, litigations that involve such injury continue to be prevalent. Our aim was to review all major litigations involving ureteral injuries related to minimally invasive gynecologic surgery to determine the most common allegations from plaintiffs and highlight factors that aided defendants. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.11.003DOI Listing
November 2018
10 Reads

[Ureteral injuries complicating gynecologic surgery].

Pan Afr Med J 2018 20;30:145. Epub 2018 Jun 20.

Service d'Urologie, CHU Ibn El Jazzar, Kairouan, Tunisie.

Iatrogenic ureteral lesions may occur after any pelvic surgery. They are severe and can affect renal function and even vital prognosis. This study aimed to determine the clinical aspects and the therapeutic approaches of this injury. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.145.15470DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201629PMC
November 2018
11 Reads

Minimally invasive surgical treatment on delayed uretero-vaginal fistula.

BMC Urol 2018 Oct 29;18(1):96. Epub 2018 Oct 29.

Department of Urology, The Fourth Hospital of China Medical University, 4 Chongshan Road, Shenyang, 110032, China.

Objective: To evaluate the procedure of endoscopic surgery for ureterovaginal fistula (UVF) and its clinical efficacy.

Materials And Methods: A retrospective analysis of 46 patients needing treatment for UVF with endourology technology was conducted (all patients had unilateral ureteric injury, 27 left and 19 right). Transurethral retrograde ureteric stenting or realignment retrograde/antegrade approach stenting was used to treat the fistula, and the relation between treatment and prognosis was analyzed. Read More

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https://bmcurol.biomedcentral.com/articles/10.1186/s12894-01
Publisher Site
http://dx.doi.org/10.1186/s12894-018-0410-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206918PMC
October 2018
16 Reads

Sodium Fluorescein for Ureteral Jet Detection: A Prospective Observational Study.

JSLS 2018 Jul-Sep;22(3)

Département de gynécologie du CHU de Québec - Université Laval, Québec, QC, Canada.

Background And Objectives: Laparoscopic hysterectomy poses the risk of lower urinary tract injury, and intraoperative recognition of urinary tract injury is often difficult. We sought to evaluate sodium fluorescein coloration of ureteral jets during cystoscopy after laparoscopic hysterectomy and to evaluate surgeons' satisfaction with this method of injury detection.

Methods: This was an observational study, in which data were collected prospectively. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191068/
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http://dx.doi.org/10.4293/JSLS.2018.00019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191068PMC
December 2018
23 Reads

The incidence, causes, and management of lower urinary tract injury during total laparoscopic hysterectomy.

J Gynecol Obstet Hum Reprod 2019 Jan 12;48(1):45-49. Epub 2018 Oct 12.

Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital Izmir, Turkey. Electronic address:

Objectives: Determining the incidence and causes of lower urinary tract injury in patients undergoing total laparoscopic hysterectomy and examining the procedures applied for management.

Methods: Patients who underwent total laparoscopic hysterectomy in a large referral center between 1 January 2015 and 31 October 2017 for benign gynecological reasons were included in the study. Patients who underwent laparoscopic supracervical hysterectomy, laparoscopy-assisted vaginal hysterectomy and robot-assisted laparoscopic hysterectomy were not included in this study. Read More

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http://dx.doi.org/10.1016/j.jogoh.2018.10.009DOI Listing
January 2019
93 Reads

Implementation and validation of a retroperitoneal dissection curriculum.

Am J Obstet Gynecol 2018 Oct 3;219(4):395.e1-395.e11. Epub 2018 Jul 3.

Division of Gynecologic Surgery and Pelvic Medicine, Department of Obstetrics and Gynecology, St Michael's Hospital, Toronto, Ontario, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Competency-based education requires educators to use simulation training for the purposes of education and assessment of resident trainees. Research demonstrates that improvement in surgical skills acquired in a simulated environment is transferrable to the operative environment. Laparoscopic retroperitoneal dissection, opening the retroperitoneal space and identifying the ureter, is a fundamental skill for gynecologists. Read More

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http://dx.doi.org/10.1016/j.ajog.2018.06.021DOI Listing
October 2018
3 Reads

Long-term outcomes of surgical treatment for intravascular leiomyomatosis.

J Formos Med Assoc 2018 Nov 11;117(11):964-972. Epub 2018 Sep 11.

Department of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan. Electronic address:

Background: Intravascular leiomyomatosis (IVL) is relatively rare. The optimal surgical method and long-term outcomes are not completely understood.

Methods: Medical records between 2007 and 2017 in our hospital were analyzed to identify IVL cases with surgical intervention. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09296646183002
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http://dx.doi.org/10.1016/j.jfma.2018.08.023DOI Listing
November 2018
29 Reads

Risk of fistula formation and long-term health effects after a benign hysterectomy complicated by organ injury: A population-based register study.

Acta Obstet Gynecol Scand 2018 Dec 7;97(12):1463-1470. Epub 2018 Oct 7.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Introduction: There is a paucity of data on the impact of organ injury on long-term outcomes after a hysterectomy for benign indications. The aim of this study was to investigate fistula formation and patient-reported long-term health outcomes after organ injury at the time of a hysterectomy.

Material And Methods: This was a population-based study of 22 538 women undergoing a hysterectomy between 2000 and 2014 in Sweden. Read More

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http://doi.wiley.com/10.1111/aogs.13450
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http://dx.doi.org/10.1111/aogs.13450DOI Listing
December 2018
9 Reads

CO Cystoscopy for Evaluation of Ureteral Patency.

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):558-563. Epub 2018 Aug 27.

Urology Unit, Brazilian National Cancer Institute, Rio de Janeiro, Brazil (Dr. da Silva).

Gynecologic surgery is associated with various perioperative complications, especially urinary tract injuries. Intraoperative cystoscopy plays an important role in allowing assessment of the bladder to ensure the absence of injuries. Verification of the urinary jets from the ureters is a fundamental step that is not always easy to accomplish. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183043
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http://dx.doi.org/10.1016/j.jmig.2018.08.014DOI Listing
August 2018
6 Reads

Radical Surgery in Advanced Cervical Cancer Patients Receiving Bevacizumab-Containing Chemotherapy: A "Real Life Experience".

Int J Gynecol Cancer 2018 10;28(8):1569-1575

Gynecologic Oncology, Fondazione Policlinico A. Gemelli, IRCCS.

Background: Platinum-based chemotherapy plus bevacizumab is the new standard of care in stage IVB cervical cancer (CC) patients. In this new scenario, radical surgery could be offered in selected cases with an optimal clinical response. Potential surgical complications related to previous bevacizumab treatment have never been described before in this type of setting. Read More

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http://dx.doi.org/10.1097/IGC.0000000000001350DOI Listing
October 2018
7 Reads

A nationwide survey on gynecologic endoscopic surgery in Japan, 2014-2016.

J Obstet Gynaecol Res 2018 Nov 20;44(11):2067-2076. Epub 2018 Aug 20.

Tottori University Faculty of Medicine, Yonago, Japan.

Aim: Since 2014, Japan Society of Gynecologic and Obstetric Endoscopy and minimally invasive therapy (JSGOE) conducted a nationwide survey on gynecologic endoscopic surgery. We aimed to evaluate the current status and complications associated with endoscopic surgery by Japan gynecologic and obstetric endoscopy-database registry system (JOE-D).

Methods: Electrical medical records concerning the endoscopic surgery were generated from the daily use of reporting system. Read More

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http://dx.doi.org/10.1111/jog.13774DOI Listing
November 2018
37 Reads

Managing Ureterovaginal Fistulas following Obstetric and Gynecological Surgeries.

J Nepal Health Res Counc 2018 Jul 4;16(2):233-238. Epub 2018 Jul 4.

Department of Obstetrics and Gynaecology, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.

Background: Iatrogenic ureteric injuries leading to fistula are rare but devastating complications of obstetric and gynecological surgeries. The aim of the study was to review the demography of ureterovaginal fistula (UVF) and its surgical outcome in Kathmandu Model Hospital.

Methods: This is a review of 15 patients of ureterovaginal fistula who were referred to department of Obstetrics and Gynaecology of Kathmandu Model Hospital from Feb 2014 to Sept 2017. Read More

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July 2018
6 Reads

[Laparoscopic type C1 hysterectomy based on the anatomic landmark of the uterus deep vein and its branches for cervical cancer].

Zhonghua Zhong Liu Za Zhi 2018 Apr;40(4):288-294

Medical College of Nanchang University, Nanchang 330006, China.

To introduce the laparoscopic type C1 hysterectomy based on the anatomic landmark of the uterus deep vein and its branched and to evaluate its feasibility and safety for cervical cancer and its effect to bladder function and to provide some reference to simplify the surgical procedures of laparoscopic type C1 hysterectomy. The clinicopathologic data of the patients with stage ⅠA2~ⅡB cervical cancer and who underwent the laparoscopic C1 hysterectomy based on anatomic landmark of the uterus deep vein and its branches between March 2010 and December 2015 was retrospectively analysed. A total of 99 patients received laparoscopic type C1 hysterectomy based on the anatomic landmark of the uterus deep vein and its branches, in which 93 patients reserved unilateral or bilateral pelvic autonomic nerve successfully, the other 6 patients were transfered to receive type C2 hysterectomy due to adhesions, bleeding or the low possibility of curative resection. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3766.2018.04.010DOI Listing
April 2018
40 Reads

[Iatrogenic Injuries of Urinary Tract : Outcomes of Surgical Repairs].

Hinyokika Kiyo 2018 Mar;64(3):95-99

The Department of Urology, Nara Prefecture General Medical Center.

Iatrogenic urinary tract injuries are known complications of digestive and pelvic surgeries. We retrospectively reviewed 13 patients with bladder injuries and 16 patients with ureteral injuries requiring surgical repair or stent placement in our hospital between 2013 and 2016. Obstetric-gynecologic surgery accounted for 10 bladder injuries and 11 ureteral injuries on hysterectomy and Cesarean section. Read More

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http://dx.doi.org/10.14989/ActaUrolJap_64_3_95DOI Listing
March 2018
6 Reads

A Population-Based Assessment of Urologic Procedures and Operations After Surgery or Pelvic Radiation for Cervical Cancer.

Int J Gynecol Cancer 2018 06;28(5):989-995

Division of Urology, Department of Surgery, University of Toronto, Toronto.

Objective: The treatment of cervical cancer can result in genitourinary morbidity. We measured selected urologic procedures after the treatment of cervical cancer with either surgery or radiation.

Methods: We used administrative data from the province of Ontario Canada to identify adult women who had nonmetastatic cervical cancer and were treated with surgery or radiation between 1994 and 2014. Read More

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http://dx.doi.org/10.1097/IGC.0000000000001266DOI Listing
June 2018
7 Reads

Diagnostic accuracy of cystoscopy and ultrasonography in the prenatal diagnosis of abnormally invasive placenta.

Medicine (Baltimore) 2018 Apr;97(15):e0438

Department of Obstetrics.

The aim of this study was to compare the accuracy of cystoscopy and ultrasonography for the prenatal diagnosis of abnormally invasive placenta (AIP), including its subgroups: placenta accreta (PA), placenta increta (PI), and placenta percreta (PP).A retrospective observational study including a total of 85 pregnant women at high risk for AIP underwent prenatal cystoscopy and ultrasonography evaluations. The sensitivity (Se), specificity (Sp), positive predictive value, negative predictive value, and exact diagnosed were calculated and compared for both cystoscopy and ultrasonography. Read More

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http://Insights.ovid.com/crossref?an=00005792-201804130-0007
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http://dx.doi.org/10.1097/MD.0000000000010438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908603PMC
April 2018
13 Reads
5.720 Impact Factor

Ureteral injuries during different types of hysterecomy: A 7-year series at a single university center.

Eur J Obstet Gynecol Reprod Biol 2018 Jun 23;225:1-4. Epub 2018 Mar 23.

Division of Gynaecology and Obstetrics, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Objectives: Accidental ureteral injury with gynaecologic surgery, especially hysterectomy, represents a high risk of patient morbidity. The incidence may vary from centre to centre. As the introduction of new minimally invasive surgical techniques and instruments may have affected the incidence of ureteral injury, we de novo analysed the incidence data for the last seven years. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.03.039DOI Listing
June 2018
7 Reads

Urological complications after radical hysterectomy with postoperative radiotherapy and radiotherapy alone for cervical cancer.

Medicine (Baltimore) 2018 Mar;97(13):e0173

Department of Urology, The First Hospital of Jilin University, Changchun, P.R. China.

Radiotherapy is a reliable method to cure cervical cancer patients, but it could cause serious urological complications after the treatment due to the anatomical location of the cervix. The main purpose of this retrospective analysis is to study the incidence, latency, and therapeutic efficacy of urological complications caused by radical hysterectomy with postoperative radiotherapy or radiotherapy alone in patients with cervical cancer.A retrospective analysis was conducted on patients with cervical cancer who received radical hysterectomy with postoperative radiotherapy or radiotherapy alone at the First Hospital of Jilin University between January 2010 and May 2016. Read More

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http://dx.doi.org/10.1097/MD.0000000000010173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895433PMC
March 2018
27 Reads

Laparoscopic high uterosacral ligament suspension: an alternative route for a traditional technique.

Int Urogynecol J 2018 08 2;29(8):1227-1229. Epub 2018 Mar 2.

Obstetrics and Gynecology Unit, P. Pederzoli Hospital, Peschiera del Garda, Verona, Italy.

Introduction And Hypothesis: Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. Read More

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http://dx.doi.org/10.1007/s00192-018-3588-4DOI Listing
August 2018
11 Reads

Rate of Urologic Injury with Robotic Hysterectomy.

J Minim Invasive Gynecol 2018 Jul - Aug;25(5):867-871. Epub 2018 Jan 11.

Department of Women's Health at Henry Ford HospitalWayne State University School of Medicine, Detroit, Michigan. Electronic address:

Study Objective: To evaluate rates of urologic injury in patients who underwent robotic hysterectomy compared with laparoscopic, vaginal, and open hysterectomy.

Design: A retrospective analysis (Canadian Task Force classification II-2).

Setting: Henry Ford Health System, 2013 to 2016. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.01.004DOI Listing
January 2018
14 Reads

Robotic Appendiceal Interposition With Right Lower Pole Calycostomy, Downward Nephropexy, and Psoas Hitch for the Management of an Iatrogenic Near-complete Ureteral Avulsion.

Urology 2018 Mar 27;113:e9-e10. Epub 2017 Dec 27.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Although iatrogenic ureteral injuries are rare, they have potentially devastating consequences for both patients and physicians, and their management remains challenging. We report a case of a 51-year-old morbidly obese (body mass index = 63) woman who suffered an iatrogenic 15-cm right ureteral avulsion during hysteroscopic biopsy. Preoperative antegrade and retrograde pyelograms demonstrated no true renal pelvis and a 3-cm blind-ending distal ureteral stump. Read More

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http://dx.doi.org/10.1016/j.urology.2017.12.005DOI Listing
March 2018
1 Read

An Unusual Case of Ureteral Perforation in Minimally Invasive Pedicle Screw Instrumentation: Case Report and Review of the Literature.

World Neurosurg 2018 Mar 8;111:28-35. Epub 2017 Dec 8.

Department of Neurosurgery, Cliniques Universitaires Saint-Luc Bruxelles, Brussels, Belgium. Electronic address:

Background: Injury of the ureter is a potentially devastating complication most often reported in gynecologic, colorectal, or vascular pelvic surgery or endoscopic procedures for ureteric diseases. We report a rare case of ureteral rupture occurring as a complication of percutaneous pedicle screw placement.

Case Description: A 60-year-old man reported unbearable abdominal pain on the day after right L4-L5 transforaminal intervertebral fusion and percutaneous pedicle screw placement. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.11.175DOI Listing
March 2018
10 Reads

Urinary Tract Injury in Gynecologic Laparoscopy for Benign Indication: A Systematic Review.

Obstet Gynecol 2018 01;131(1):100-108

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts.

Objective: To perform a comprehensive literature review of the incidence, location, etiology, timing, management, and long-term sequelae of urinary tract injury in gynecologic laparoscopy for benign indication.

Data Sources: A systematic review of PubMed, EMBASE, Cochrane Library, and ClinicalTrials.gov was conducted. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002414DOI Listing
January 2018
10 Reads

Case series of outcomes of a standardized surgical approach for placenta percreta for prevention of ureteral lesions.

Int J Gynaecol Obstet 2018 Mar 22;140(3):352-356. Epub 2017 Dec 22.

School of Medicine, Saint Joseph University, Beirut, Lebanon.

Objective: To report the outcomes of women with placenta percreta who were surgically treated by a specialized technique based on gynecologic oncology experience, and to demonstrate its safety in preventing ureteral lesions and reducing blood loss.

Methods: In the present retrospective study, data from patients with placenta percreta radically treated at Hôtel-Dieu de France, Beirut, Lebanon, between December 2012 and January 2017 were reviewed. Demographic, pathology, and delivery data, medical history, per-operative and postoperative information, and neonatal data were assessed. Read More

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http://dx.doi.org/10.1002/ijgo.12402DOI Listing
March 2018
6 Reads

A Rare Ureteral Injury Following Posterior Approach Lumbar Discectomy.

J Endourol Case Rep 2017 1;3(1):158-161. Epub 2017 Nov 1.

Division of Urology, St. Michael's Hospital, University of Toronto, Toronto, Canada.

Iatrogenic ureteral injuries account for ∼75% of all ureteral injuries and occur primarily during urologic, gynecologic, general, and vascular surgery procedures. Ureteral injury during spine surgery is a rare complication with only occasional reports in the literature. In this case report, we present a case of unrecognized left ureteral injury during an open right lumbar discectomy with a delayed presentation, and discuss the steps required for diagnosis and management. Read More

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http://dx.doi.org/10.1089/cren.2017.0112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684662PMC
November 2017
9 Reads

Laparoscopic repair of ureter damaged during laparoscopic hysterectomy: Presentation of two cases.

Turk J Obstet Gynecol 2017 Sep 30;14(3):191-194. Epub 2017 Sep 30.

University of Health Sciences, Zeynep Kamil Women and Children's Health Training and Research Hospital, İstanbul, Turkey.

Ureter injuries are uncommon but dreaded complications in gynecologic surgery and a frequent cause of conversion to laparotomy. Recently, a few papers reported the repair of gynecologic ureteral injuries using laparoscopy with encouraging results. In these case reports, we aimed to present two laparoscopically repaired ureter injuries during total laparoscopic hysterectomies (TLH). Read More

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http://dx.doi.org/10.4274/tjod.34270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651896PMC
September 2017
15 Reads

Tips and tricks for uterosacral ligament suspension: how to avoid ureteral injury.

Int Urogynecol J 2018 01 16;29(1):161-163. Epub 2017 Oct 16.

AUSL della Romagna - Ospedale Infermi, Rimini, Italy.

Introduction And Hypothesis: Uterosacral ligament (USL) suspension is an effective and versatile surgical technique for repairing pelvic organ prolapse. However, ureteral injury is a feared complication that may act as a significant deterrent to the use of USL suspension. The aim of the video is to provide key steps to minimize the risk of ureteral injury while achieving successful transvaginal USL suspension. Read More

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http://dx.doi.org/10.1007/s00192-017-3497-yDOI Listing
January 2018
7 Reads

Obstructive uropathy as initial presentation of genitourinary tuberculosis and masquerading as a postsurgical complication.

BMJ Case Rep 2017 Oct 15;2017. Epub 2017 Oct 15.

Department of Internal Medicine, University Teaching Hospital of Kigali, Kigali, Rwanda.

A 46-year-old woman who had a recent total abdominal hysterectomy presented with a 1 month history of lower abdominal pain, 1 week of nausea and vomiting as well as decreased urinary output preceded by a year of significant unintentional weight loss. On renal imaging, she was found to have bilateral hydronephrosis and hydroureters in the setting of bilateral distal ureteric obstruction complicated with acute kidney injury and severe hyperkalaemia requiring haemodialysis. The initial concern was for ureteric injury, a known complication of abdominal hysterectomy procedures, however, a urological intervention, performed 9 months later to relieve the ureteric obstruction, revealed purulent material within the left ureter that was smear positive for acid fast bacilli. Read More

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http://dx.doi.org/10.1136/bcr-2017-221270DOI Listing
October 2017
15 Reads

Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings.

Int Urogynecol J 2018 09 11;29(9):1303-1309. Epub 2017 Oct 11.

, Mwanza, Tanzania.

Introduction: Ureteric injuries are among the most serious complications of pelvic surgery. The incidence in low-resource settings is not well documented.

Methods: This retrospective review analyzes a cohort of 365 ureteric injuries with ureterovaginal fistulas in 353 women following obstetric and gynecologic operations in 11 countries in Africa and Asia, all low-resource settings. Read More

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http://dx.doi.org/10.1007/s00192-017-3483-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132689PMC
September 2018
41 Reads

Outcomes of ureteroscopic double-J ureteral stenting for distal ureteral injury after gynecologic surgery.

Int Urogynecol J 2018 09 25;29(9):1397-1402. Epub 2017 Sep 25.

Department of Urology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 59 Dongsu-ro, Bupyeng-gu, Incheon, Korea.

Introduction And Hypothesis: Ureteral injuries are well-known complications of any gynecologic surgery. We evaluated the safety and feasibility of ureteroscopic double-J (DJ) ureteral stenting in patients with distal ureteral injuries after gynecologic surgery.

Methods: Eleven consecutive patients with an iatrogenic ureteral injury in the distal ureter secondary to gynecologic surgery underwent DJ ureteral stenting between March 2008 and January 2016. Read More

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http://dx.doi.org/10.1007/s00192-017-3478-1DOI Listing
September 2018
10 Reads

Extravesical robotic ureteral reimplantation for ureterovaginal fistula.

Int Urogynecol J 2018 Apr 7;29(4):595-597. Epub 2017 Sep 7.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.

Introduction: We present a video describing the technical considerations for performing an extravesical robotic ureteral reimplantation.

Methods: A 55-year old woman presented with urinary incontinence secondary to a ureterovaginal fistula after robotic-assisted hysterectomy. After failure of more conservative measures, she proceeded to a robotic ureteral reimplantation. Read More

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http://dx.doi.org/10.1007/s00192-017-3459-4DOI Listing
April 2018
13 Reads

Perioperative serum creatinine changes and ureteral injury.

Int Urol Nephrol 2017 Nov 1;49(11):1915-1919. Epub 2017 Sep 1.

Gynecology and Obstetrics Department, Loma Linda University School of Medicine, 11370 Anderson St., Suite 3950, Loma Linda, CA, 92354, USA.

Purpose: To illustrate a simple method that screens for ureteral injury in the acute postoperative period after urogynecologic surgeries.

Methods: Serum creatinine measurements in the preoperative (baseline) and postoperative periods of urogynecologic surgeries were determined and the correlation of the change to ureteral injury and/or obstruction analyzed. The sample size calculation showed 7 cases and 28 controls were sufficient to detect significant changes in creatinine. Read More

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http://dx.doi.org/10.1007/s11255-017-1674-zDOI Listing
November 2017
28 Reads

Visceral injury at gynaecological surgery: demonstration of reasonable care affords acceptable defence.

BJOG 2017 Sep;124(10):1557

ST. Mary's Hospital, Manchester, UK.

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http://dx.doi.org/10.1111/1471-0528.14710DOI Listing
September 2017
5 Reads

Anatomical complications of hysterectomy: A review.

Clin Anat 2017 Oct 22;30(7):946-952. Epub 2017 Aug 22.

Department of Anatomical Sciences, St. George's University, Grenada, West Indies.

Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus, and a multitude of nervous structures. Read More

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http://dx.doi.org/10.1002/ca.22962DOI Listing
October 2017
12 Reads

Laparoscopic hysterectomy for benign indications: clinical practice guideline.

Arch Gynecol Obstet 2017 Sep 26;296(3):597-606. Epub 2017 Jul 26.

Section Minimally Invasive Gynecologic Surgery, Department of Gynecology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.

Purpose: Since the introduction of minimally invasive gynecologic surgery, the percentage of advanced laparoscopic procedures has greatly increased worldwide. It seems therefore, timely to standardize laparoscopic gynecologic care according to the principles of evidence-based medicine. With this goal in mind-the Dutch Society of Gynecological Endoscopic Surgery initiated in The Netherlands the development of a national guideline for laparoscopic hysterectomy (LH). Read More

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http://dx.doi.org/10.1007/s00404-017-4467-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548857PMC
September 2017
11 Reads

Effect of remote cesarean delivery on complications during hysterectomy: a cohort study.

Am J Obstet Gynecol 2017 11 21;217(5):564.e1-564.e8. Epub 2017 Jul 21.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Background: Cesarean delivery is performed frequently worldwide, and follow-up studies that report complications at subsequent surgery are warranted.

Objectives: The aim of the study was to investigate the association between a previous abdominal delivery and complications during a subsequent hysterectomy and to estimate the fraction of complications that are driven by the presence of adhesions.

Study Design: This was a longitudinal population-based register study of 25354 women who underwent a benign hysterectomy at 46 hospital units in Sweden 2000-2014. Read More

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http://dx.doi.org/10.1016/j.ajog.2017.07.021DOI Listing
November 2017
9 Reads

The development of a retroperitoneal dissection model.

Am J Obstet Gynecol 2017 10 8;217(4):483.e1-483.e3. Epub 2017 Jul 8.

Department of Obstetrics and Gynaecology, Division of Gynecologic Surgery and Pelvic Medicine, St. Michael's Hospital, Toronto, Ontario, Canada; Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Knowledge of ureteric anatomy is essential for ureteric injury prevention in laparoscopic gynecologic surgery. Rates of injury increase with limited surgical experience and reduced surgical volume. Currently, there are no low-fidelity or high-fidelity simulation models for teaching and practicing ureteric dissection. Read More

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http://dx.doi.org/10.1016/j.ajog.2017.07.004DOI Listing
October 2017
10 Reads

Total laparoscopic hysterectomy for endometrial cancer in a renal transplantation patient receiving peritoneal dialysis: Case report and literature review.

J Obstet Gynaecol Res 2017 Jul 14;43(7):1232-1237. Epub 2017 Jun 14.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.

Improved surgical techniques and immunosuppressant medications for organ transplantation have resulted in a significant increase in the number of women undergoing renal transplantation. Peritoneal dialysis (PD), a common supportive therapy for chronic renal failure, is also used in cases of renal transplantation failure. Herein, we report the first case of a rare total conventional laparoscopic gynecologic hysterectomy performed for endometrial cancer in a patient undergoing life-supportive PD as a result of renal transplantation failure. Read More

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http://dx.doi.org/10.1111/jog.13337DOI Listing
July 2017
9 Reads

[Feasability and morbidity of apical and anterior mesh repair, a multicenter cohort study].

Prog Urol 2017 Jun - Jul;27(8-9):497-505. Epub 2017 May 23.

Service de gynécologie-obstétrique, hôpital de La Conception, 147, boulevard Baille, 13005 Marseille, France.

Objective: To assess safety anatomic results, satisfaction patient and to report short-term results of a new surgical approach for a combined treatment of pelvic organ prolapse (POP) of anterior and medium compartments.

Material And Methods: A longitudinal case series of 83 consecutive patients operated between January 2012 and April 2014 in four tertiary centers by 8 surgeons. Potential complications have been reported. Read More

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http://dx.doi.org/10.1016/j.purol.2017.05.004DOI Listing
May 2018
31 Reads

[Laparoscopic uretero-ureterostomy for iatrogenic lesions of the distal uréter.]

Arch Esp Urol 2017 May;70(4):429-435

Unidad de Gestión Clínica de Urología. Hospital Jerez de la Frontera. Cádiz. España.

Objectives: The most frequent ureteral lesions are iatrogenic, mainly due to gynecologic and urologic procedures. The resolution and repair of these lesions, when they require surgery, is often the performance of ureteroneocystostomy. We describe the technique for the repair of distal ureter lesions that preserves both anatomy and function of the urinary tract (1). Read More

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May 2017
26 Reads

Laparoscopic ureteroureterostomy with an intraoperative retrograde ureteroscopy-assisted technique for distal ureteral injury secondary to gynecological surgery: a retrospective comparison with laparoscopic ureteroneocystostomy.

Scand J Urol 2017 Aug 7;51(4):329-334. Epub 2017 Apr 7.

a Department of Urology , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.

Objectives: The aim of this study was to compare the operative and postoperative outcomes of laparoscopic ureteroureterostomy (LAP-UU) using a retrograde ureteroscopy-assisted technique with laparoscopic ureteroneocystostomy (LAP-UNC) in treating ureteral injury after gynecological surgery.

Materials And Methods: The study analyzed 60 ureteral injury repairs performed between May 2010 and February 2016 in patients who underwent either LAP-UU using the retrograde ureteroscopy-assisted technique (n = 26) or LAP-UNC (n = 34). Demographic parameters, operative variables and perioperative outcomes were retrospectively analyzed. Read More

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https://www.tandfonline.com/doi/full/10.1080/21681805.2017.1
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http://dx.doi.org/10.1080/21681805.2017.1304989DOI Listing
August 2017
9 Reads

The Retroperitoneal Approach to Endometriosis.

J Minim Invasive Gynecol 2017 Sep - Oct;24(6):896. Epub 2017 Mar 3.

Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

Study Objective: To demonstrate principles of laparoscopic management of deeply infiltrating endometriosis requiring retroperitoneal entry.

Design: Step-by-step demonstration and explanation of technique using videos from patients with deeply infiltrating stage IV endometriosis who failed medical management (Canadian Task Force classification IIIB). This study was exempt from Institutional Review Board review. Read More

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http://dx.doi.org/10.1016/j.jmig.2017.02.019DOI Listing
February 2018
8 Reads

Multidisciplinary team learning in the management of the morbidly adherent placenta: outcome improvements over time.

Am J Obstet Gynecol 2017 06 16;216(6):612.e1-612.e5. Epub 2017 Feb 16.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.

Background: Morbidly adherent placenta (MAP) is a serious obstetric complication causing mortality and morbidity.

Objective: To evaluate whether outcomes of patients with MAP improve with increasing experience within a well-established multidisciplinary team at a single referral center.

Study Design: All singleton pregnancies with pathology-confirmed MAP (including placenta accreta, increta, or percreta) managed by a multidisciplinary team between January 2011 and August 2016 were included in this retrospective study. Read More

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http://dx.doi.org/10.1016/j.ajog.2017.02.016DOI Listing
June 2017
45 Reads

Transvaginal uterosacral ligament suspension for posthysterectomy vaginal vault prolapse repair.

Int Urogynecol J 2017 Sep 10;28(9):1421-1423. Epub 2017 Feb 10.

ASST Monza, Ospedale San Gerardo, U.O. Ginecologia, Via Pergolesi, 33, 20900, Monza, MB, Italy.

Introduction And Hypothesis: Posthysterectomy vaginal vault prolapse repair represents a challenge for urogynecologists. Surgical management can be successfully achieved with native tissue using a vaginal approach with uterosacral ligament (USL) suspension. However, severe complications have been described, mainly related to ureteral injury. Read More

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http://dx.doi.org/10.1007/s00192-017-3277-8DOI Listing
September 2017
5 Reads

Urologic injuries during gynecologic surgery, a 10-year review.

J Obstet Gynaecol Res 2017 Mar 4;43(3):557-563. Epub 2017 Feb 4.

Department of Obstetrics & Gynaecology, Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand.

Aims: The study was conducted to evaluate the incidence of urologic injuries during gynecologic surgery, study the management and outcome of such injuries, and identify risk factors that may be associated with urologic injuries.

Methods: A case-control study was conducted in patients who underwent gynecologic surgery from 2005 to 2014 in the university hospital. The study cases referred to patients who had urologic injury during gynecologic surgery and the control cases referred to patients who had gynecologic surgery matching the same period, type of procedure, and etiological disease leading to surgery. Read More

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http://dx.doi.org/10.1111/jog.13238DOI Listing
March 2017
26 Reads

A comparison of sentinel lymph node biopsy to lymphadenectomy for endometrial cancer staging (FIRES trial): a multicentre, prospective, cohort study.

Lancet Oncol 2017 03 1;18(3):384-392. Epub 2017 Feb 1.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.

Background: Sentinel-lymph-node mapping has been advocated as an alternative staging technique for endometrial cancer. The aim of this study was to measure the sensitivity and negative predictive value of sentinel-lymph-node mapping compared with the gold standard of complete lymphadenectomy in detecting metastatic disease for endometrial cancer.

Methods: In the FIRES multicentre, prospective, cohort study patients with clinical stage 1 endometrial cancer of all histologies and grades undergoing robotic staging were eligible for study inclusion. Read More

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http://www.thelancet.com/pdfs/journals/lanonc/PIIS1470-2045(
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http://dx.doi.org/10.1016/S1470-2045(17)30068-2DOI Listing
March 2017
33 Reads