EMRE MAT, ESRA KELEŞ, GAZİ YILDIZ, REZZAN BERNA BAKİ, PINAR BİROL İLTER, MEHMET METE KIRLANGIÇ, ALEV ESERCAN, ULAŞ SOLMAZ, AYŞENUR EZGİ ASLAN, ÖZGÜR KARTAL, AHMET HALİL SEVİNÇ
Southern Clinics of Istanbul Eurasia - 2023;34(4):326-329
INTRODUCTION: Iatrogenic ureteral injuries are critical consequences of pelvic and vaginal surgeries that can lead to severe morbidity and even death. Therefore, the purpose of this study was to evaluate the outcomes of primary laparoscopic repair of ureteral injuries during laparoscopic hysterectomy (LH). METHODS: Patients who underwent LH between November 2018 and October 2021 were evaluated retrospectively. Medical records of all patients with ureter injury were reviewed and their causes of injury, incidence, treatment and follow-up were evaluated. Results: A total of five patients had ureter injury during laparoscopic surgery. All ureter injuries immediately repaired during the same operation without conversion to laparotomy or additional trochar insertion. DISCUSSION AND CONCLUSION: Identification of intra-operative urinary tract injury during gynecological operations allows for appropriate and immediate repair. The result of the study showed that gynecologists experienced in endoscopic surgery can successfully and effectively managed ureteral injury during laparoscopy.
