621 results match your criteria Ureteral Injury During Gynecologic Surgery


Cadaveric surgical demonstration of middle to distal ureteral injury repairs in urologic and gynecologic surgeries.

Int Urogynecol J 2020 Apr 11. Epub 2020 Apr 11.

Department of Urology, University of Louisville, Louisville, KY, USA.

Introduction And Hypothesis: Iatrogenic ureteral injuries can occur during any surgery but are more likely to occur during urologic and gynecologic procedures. The middle and distal ureter are especially at risk of injury during these surgeries.

Methods: The objective of this surgical educational video was to demonstrate how to repair middle to distal ureteral injuries with the following techniques: direct ureteroureterostomy, ureteroneocystotomy, vesico-psoas hitch, and Boari-Ockerblad bladder flap. Read More

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http://dx.doi.org/10.1007/s00192-019-04195-2DOI Listing

Absent Ureteral Efflux after Hysterectomy Leads to Diagnosis of Ureteral Atresia with Renal Atrophy.

Case Rep Obstet Gynecol 2020 28;2020:9214613. Epub 2020 Jan 28.

Department of Urology, Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USA.

Iatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient underwent a total abdominal hysterectomy and had absent efflux from the right ureteral orifice on cystoscopy. Read More

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http://dx.doi.org/10.1155/2020/9214613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007933PMC
January 2020

A case report of endorectal displacement of a right ureteral stent following radiochemotherapy and Bevacizumab.

BMC Urol 2019 Dec 9;19(1):128. Epub 2019 Dec 9.

Department of Translational Research and New Technologies in Medicine and Surgery, Sections of Urology, University of Pisa, via Paradisa 2, 56126, Pisa, Italy.

Background: The angiogenesis inhibitor monoclonal antibody Bevacizumab is presently the standard treatment for numerous neoplasms but particular toxicities are emerging, such as hypertension, haemorrhage, thromboembolism, gastrointestinal perforation, fistulae, and delayed wound healing. The addition of Bevacizumab to radio and chemotherapy has improved the overall survival rate in patients with metastatic, persistent or recurrent cervical carcinoma. However an increased risk of enteric or urinary fistula formation has been documented, related to hypoxia which is induced by the inhibition of angiogenesis. Read More

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http://dx.doi.org/10.1186/s12894-019-0566-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902463PMC
December 2019

Effect of laparoscopic versus abdominal radical hysterectomy on major surgical complications in women with stage IA-IIB cervical cancer in China, 2004-2015.

Gynecol Oncol 2020 01 2;156(1):115-123. Epub 2019 Dec 2.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. Electronic address:

Objectives: To report the trends in surgical approaches and compare the major surgical complication rates of laparoscopic and abdominal radical hysterectomy for cervical cancer.

Methods: From the major surgical complications of cervical cancer in China (MSCCCC) database, we obtained the demographic, clinical, treatment hospital and complication data of patients with cervical cancer who underwent radical hysterectomy from 2004 to 2015 at 37 hospitals. The patients were assigned to the laparoscopic and abdominal surgery groups. Read More

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http://dx.doi.org/10.1016/j.ygyno.2019.10.032DOI Listing
January 2020

Case report of laparoscopic reduction of retro-ureter incarcerated small bowel obstruction.

Medicine (Baltimore) 2019 Dec;98(49):e18250

Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, South Korea.

Rationale: Various types of internal hernias have been reported including paraduodenal, intersigmoidal, pericecal, foramen of Winslow, as well as transmesenteric and retroanastomotic hernias. However, small bowel obstruction secondary to an internal hernia caused by the ureter is rare, and only a few cases have been reported worldwide. We report a case of small bowel herniation caused by the ureter in a woman who underwent radical hysterectomy for cervical cancer. Read More

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http://dx.doi.org/10.1097/MD.0000000000018250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919411PMC
December 2019

Safety and efficacy of contained manual morcellation during laparoscopic or robotic gynecological surgery.

Int J Gynaecol Obstet 2020 Feb 10;148(2):168-173. Epub 2019 Dec 10.

Minimally Invasive Gynecology Surgery Center, Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan, R.O.C.

Objective: To assess the safety and efficacy of contained manual morcellation (CMM) with a tissue pouch during minimally invasive robotic or laparoscopic surgeries.

Methods: A retrospective cohort study included women who underwent robotic or laparoendoscopic single-site surgery at a tertiary referral center between February 2014 and April 2017. The specimen was postoperatively contained, sliced into one or more long strips, and then pulled out. Read More

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http://dx.doi.org/10.1002/ijgo.13062DOI Listing
February 2020

Vesicoureteral Injury during Benign Hysterectomy: Minimally Invasive Laparoscopic Surgery versus Laparotomy.

J Minim Invasive Gynecol 2019 Nov 16. Epub 2019 Nov 16.

Department of Obstetrics and Gynecology, Divisions of Gynecologic Oncology (Drs. Chang, Mandelbaum, Matsuzaki, Roman, and Matsuo, Mr. Nusbaum, and Ms. Violette); Norris Comprehensive Cancer Center (Drs. Roman and Matsuo), University of Southern California, Los Angeles, California. Electronic address:

Study Objective: The findings of previous studies have been inconsistent as to whether benign hysterectomy via minimally invasive laparoscopic surgery increases the risk of vesicoureteral injury when compared with laparotomy. The objectives of our study were to (1) examine the rate of vesicoureteral injury on benign hysterectomy by the surgical approach and (2) compare the risk of vesicoureteral injury specifically between minimally invasive laparoscopic and abdominal hysterectomy on a populational level.

Design: Retrospective population-based observational study. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.11.004DOI Listing
November 2019

Retrograde balloon dilation as a therapeutic option for post-gynecologic surgery ureteral stricture followed by ureteroureterostomy: a comparative study regarding stricture length.

Yeungnam Univ J Med 2018 12 31;35(2):179-186. Epub 2018 Dec 31.

Department of Urology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.

Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries.

Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Read More

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http://dx.doi.org/10.12701/yujm.2018.35.2.179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784705PMC
December 2018
2 Reads

The effect of placental location in cases of placenta accreta spectrum.

Am J Obstet Gynecol 2019 10 22;221(4):357.e1-357.e5. Epub 2019 Jul 22.

Minnesota Perinatal Physicians, Allina Health, Minnesota, MN.

Background: Placenta accreta spectrum affects approximately 3 in 1000 pregnancies. There is a paucity of data evaluating the effect of placental location on diagnosis, risk factors, and resultant outcomes in cases of placenta accreta spectrum.

Objective: We analyzed placenta accreta spectrum cases to assess whether risk factors or maternal outcomes varied based on placental location. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.07.028DOI Listing
October 2019
1 Read

Urologic Injury and Fistula After Hysterectomy for Benign Indications.

Obstet Gynecol 2019 08;134(2):241-249

Stanford University School of Medicine, Stanford, and Santa Clara Valley Medical Center, San Jose, California.

Objective: To explore the rates and risk factors for sustaining a genitourinary injury during hysterectomy for benign indications.

Methods: In this population-based cohort study, all women who underwent hysterectomy for benign indications were identified from the Office of Statewide Health Planning and Development databases in California (2005-2011). Genitourinary injuries were further classified as identified at the time of hysterectomy, identified after the date of hysterectomy; or unidentified until a fistula developed. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003353DOI Listing
August 2019
1 Read

Re: Complications of Recognized and Unrecognized Iatrogenic Ureteral Injury at Time of Hysterectomy: A Population Based Analysis.

J Urol 2019 11 9;202(5):1054-1055. Epub 2019 Oct 9.

Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

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http://dx.doi.org/10.1097/JU.0000000000000401DOI Listing
November 2019
2 Reads

[Post-hysterectomy uretero-vaginal fistula: Laparoscopic management with ureteroneocystostomy and psoas hitch.]

Arch Esp Urol 2019 May;72(4):428-435

UGC de Urología. Hospital Universitario de Puerto Real. Puerto Real. Cádiz. España.

Objective: This paper describes our initial experience with laparoscopic ureteroneocystostomy in two patients with distal ureter lesions following gynaecological surgery (hysterectomy). Furthermore, we review the evidence on the incidence, prevention, and management of urinary tract injuries that occur during laparoscopic gynaecological surgery. METHOD: Two patients with iatrogenic lower ureteral injuries during hysterectomy leading to ureterovaginal fistula underwent laparoscopic ureteroneocystostomy with a psoas hitch. Read More

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May 2019
10 Reads

Standardization of laparoscopic extrafascial hysterectomy: anatomic considerations to protect the ureter.

Surg Radiol Anat 2019 Aug 6;41(8):859-867. Epub 2019 May 6.

Department of Obstetrics and Gynaecology and Reproductive Medicine, Université Saint-Quentin-en-Yvelines, Hôpital de Poissy, 10 r Champ Gaillard, 78300, Poissy, France.

Purpose: To describe the procedure of laparoscopic extrafascial hysterectomy to avoid ureter injury.

Methods: Data were obtained from: (1) anatomic study of ten fresh female cadavers to measure the distance between the point where the ureter and uterine artery cross and the level of section of the ascending branch of the uterine artery during extrafascial dissection of the uterine pedicle and uterosacral ligament (Paris School of Surgery). The Wilcoxon test was used to compare measurements within each subject. Read More

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http://dx.doi.org/10.1007/s00276-019-02242-7DOI Listing
August 2019
5 Reads

Maternal and neonatal outcomes following a proactive peripartum multidisciplinary management protocol for placenta creta spectrum as compared to the urgent delivery.

Eur J Obstet Gynecol Reprod Biol 2019 Jun 19;237:139-144. Epub 2019 Apr 19.

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center Affiliated With The Hebrew University Hadassah School of Medicine, Jerusalem, Israel.

Background: Adherent and invasive placenta, termed Placenta Creta Spectrum (PCS), is associated with increased maternal morbidity and mortality. Incidence and risk factors for Placenta Creta are on the rise and call to optimize the obstetric care for this condition.

Objectives: We sought to compare maternal and neonatal outcomes between a ProActive Peripartum Multidisciplinary Approach (PAMA) as compared to the urgent management of the Placenta Creta Spectrum patients. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.04.032DOI Listing
June 2019
8 Reads

[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
April 2019
5 Reads

Robotic Complete Excision of Sacrocolpopexy Mesh: Standardized Technique.

J Minim Invasive Gynecol 2019 Nov - Dec;26(7):1226. Epub 2019 Apr 18.

Department of Gynecology, Mayo Clinic, Phoenix, Arizona (all authors).

Study Objective: To describe a standardized technique for robotic complete excision of sacrocolpopexy mesh.

Design: A step by step video demonstration of the technique.

Setting: A tertiary care academic hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650193019
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http://dx.doi.org/10.1016/j.jmig.2019.04.016DOI Listing
May 2020
13 Reads

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

Gynecol Obstet Fertil Senol 2019 06 16;47(6):497-503. Epub 2019 Apr 16.

Chirurgie cancérologique gynécologique et du sein, hôpital Européen Georges-Pompidou, AP-HP, 75015 Paris, France; Inserm UMR-S 747, université Paris-Descartes, 75015 Paris, France; Faculté de Médecine, Sorbonne Paris-Cité, université Paris-Descartes, 75006 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 considered once the parental project is completed. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.04.010DOI Listing
June 2019
13 Reads

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

Int Urogynecol J 2020 02 16;31(2):359-363. 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
February 2020
28 Reads

Transvaginal Natural Orifice Transluminal Endoscopic Hysterectomy and Apical Suspension of the Vaginal Cuff to the Uterosacral Ligament.

J Minim Invasive Gynecol 2019 Sep - Oct;26(6):1015. Epub 2019 Apr 10.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel (Drs. Lowenstein, Paz, Lauterbach, and Matanes); Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel (Drs. Lowenstein, Paz, Lauterbach, and Matanes). Electronic address:

Study Objective: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) offers similar advantages of traditional vaginal surgery including no incisional pain as well as a better cosmetic outcome. Furthermore, vNOTES allows the surgeon to overcome the limited surgical space and lack of exposure when using the traditional vaginal instrumentation. Vaginal uterosacral ligament suspension subsequent to vaginal hysterectomy has the advantages of a mesh-free, minimally invasive approach for the treatment of pelvic organ prolapse. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.04.007DOI Listing
April 2020
6 Reads

Cystoscopy at the Time of Hysterectomy for Benign Indications and Delayed Lower Genitourinary Tract Injury.

Obstet Gynecol 2019 05;133(5):888-895

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, the Robert H. Lurie Comprehensive Cancer Center, Northwestern University, and the Center for Healthcare Studies, Institute for Public Health in Medicine, Chicago, Illinois; the Division of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California; and the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: To compare the rate of delayed 30-day lower genitourinary tract injury in women who underwent cystoscopy at the time of hysterectomy for benign indications to those who did not.

Methods: This was a retrospective cohort study of patients who underwent hysterectomy without a concomitant procedure for prolapse or incontinence for benign pathology with a general obstetrician-gynecologist (ob-gyn) recorded in the National Surgical Quality Improvement Program targeted hysterectomy file between 2015 and 2017. The primary outcome was a delayed lower genitourinary tract injury in the 30 days after hysterectomy. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483868PMC
May 2019
4 Reads

Cystoscopy at the time of benign hysterectomy: a decision analysis.

Am J Obstet Gynecol 2019 04 24;220(4):369.e1-369.e7. Epub 2019 Jan 24.

Division of Urogynecology, Department of Obstetrics and Gynecology, Trinity Health of New England, Hartford, CT.

Background: Gynecologists debate the optimal use for intraoperative cystoscopy at the time of benign hysterectomy. Although adding cystoscopy leads to additional up-front cost, it may also enable intraoperative detection of a urinary tract injury that may otherwise go unnoticed. Prompt injury detection and intraoperative repair decreases morbidity and is less costly than postoperative diagnosis and treatment. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.01.217DOI Listing
April 2019
32 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
43 Reads

[Urological Complications of Pelvic Surgery at Point-G Hospital, About 23 Cases].

Mali Med 2018 ;33(2):9-12

Introduction: Bladder and ureteral lesions are the most common urologic complications occurring during pelvic surgery with 1% and 0.5% to 3%, respectively. These lesions are rarely recognized intraoperatively and pose a major problem to urologists, gynecologists, and general surgeons. Read More

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May 2019
8 Reads

Use of observed ureteric catheter movement to facilitate laparoscopic identification and dissection of the ureter in complex gynaecological procedures.

Authors:
David Shaker

Int Urogynecol J 2019 05 20;30(5):843-844. Epub 2018 Nov 20.

University of Queensland, Rural Clinical School, PO Box 4143, Rockhampton, QLD, 4700, Australia.

Introduction And Hypothesis: Ureteric injury is a serious complication in gynaecological surgery. Identification and dissection of the ureter is important to minimise the risk of injury. However, some pelvic pathologies and previous pelvic surgery can render laparoscopic identification and dissection of the ureter difficult and risky. Read More

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http://dx.doi.org/10.1007/s00192-018-3816-yDOI Listing

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

J Minim Invasive Gynecol 2019 May - Jun;26(4):608-617. 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
August 2019
35 Reads

Cystoscopy at the time of incontinence and prolapse surgery.

Curr Opin Obstet Gynecol 2018 12;30(6):441-445

Division of Urogynecology and Reconstructive Pelvic Surgery, Women & Infants Hospital of Rhode Island/Warren Alpert Medical School of Brown University, Providence, RI, USA.

Purpose Of Review: This article provides an update on the use of cystoscopy at the time of prolapse and incontinence surgery.

Recent Findings: Iatrogenic lower urinary tract injury is a known complication of antiincontinence procedures and surgical repair of pelvic organ prolapse. Intraoperative cystoscopy improves detection of lower urinary tract injuries in women undergoing pelvic floor surgery. Read More

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http://dx.doi.org/10.1097/GCO.0000000000000499DOI Listing
December 2018
7 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
54 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
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http://dx.doi.org/10.1186/s12894-018-0410-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206918PMC
October 2018
38 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
54 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
182 Reads

Implementation and validation of a retroperitoneal dissection curriculum.

Am J Obstet Gynecol 2018 10 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
11 Reads

Cystoscopic ureteral stent placement: techniques and tips.

Int Urogynecol J 2019 Jan 15;30(1):163-165. Epub 2018 Sep 15.

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

Introduction And Hypothesis: We present a video demonstrating technical considerations and tips for cystoscopic placement of external, lighted, and internal ureteral stents.

Methods: Cystoscopic ureteral stent placement is useful in cases where difficult pelvic periureter dissection is expected or encountered. In this video, we review cystoscopy basics, our approach to various types of retrograde stent placement, and performing retrograde pyelograms. Read More

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http://dx.doi.org/10.1007/s00192-018-3762-8DOI Listing
January 2019
4 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
68 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
Publisher Site
http://dx.doi.org/10.1111/aogs.13450DOI Listing
December 2018
21 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
July 2019
13 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
46 Reads

Management of urological injury at the time of urogynaecology surgery.

Authors:
Lisa Kaestner

Best Pract Res Clin Obstet Gynaecol 2019 Jan 28;54:2-11. Epub 2018 Jun 28.

Division of Urology, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa. Electronic address:

The presentation and management of bladder, ureteric and urethral injuries during and following urogynaecology surgery are discussed. Applied anatomy is reviewed, and the surgical management of injuries diagnosed intra- and post-operatively is discussed. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.06.007DOI Listing
January 2019
19 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
59 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
26 Reads

Universal cystoscopy at the time of benign hysterectomy: a debate.

Am J Obstet Gynecol 2018 07;219(1):75-77

Dell Medical School, University of Texas, Austin, TX. Electronic address:

Injury to the bladder and/or ureters is the cause of significant morbidity, and efforts to reduce these injuries are important. This debate presents arguments that both support, and refute, the value of routine cystoscopy at the time of benign hysterectomy. Proponents of routine cystoscopy state that injuries are more likely to be detected and repaired when cystoscopy is routinely performed. Read More

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http://dx.doi.org/10.1016/j.ajog.2018.04.020DOI Listing
July 2018
13 Reads

Ureterolysis for Laparoscopic Hysterectomy.

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):401. Epub 2018 Jun 13.

Department of Obstetrics and Gynaecology, Epsom & St Helier University Hospitals NHS Trust, Sutton, United Kingdom. Electronic address:

Study Objective: To demonstrate techniques of ureterolysis during complex laparoscopic hysterectomy.

Design: Technical video demonstrating different approaches to ureterolysis for complex benign pathology during laparoscopic hysterectomy (Canadian Task Force classification III).

Setting: Benign gynecology department at a university hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183030
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http://dx.doi.org/10.1016/j.jmig.2018.05.023DOI Listing
August 2019
11 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
77 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
17 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
13 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
38 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
14 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
59 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
31 Reads

Complications of Recognized and Unrecognized Iatrogenic Ureteral Injury at Time of Hysterectomy: A Population Based Analysis.

J Urol 2018 06 2;199(6):1540-1545. Epub 2018 Mar 2.

Department of Urology, Loyola University Medical Center, Maywood, Illinois.

Purpose: Ureteral injury represents an uncommon but potentially morbid surgical complication. We sought to characterize the complications of iatrogenic ureteral injury and assess the effect of recognized vs delayed recognition on patient outcomes.

Materials And Methods: Patients who underwent hysterectomy were identified in the Healthcare Cost and Utilization Project California State Inpatient Database for 2007 to 2011. Read More

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http://dx.doi.org/10.1016/j.juro.2017.12.067DOI Listing
June 2018
13 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
July 2019
21 Reads