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Urinary tract injuries in laparoscopic gynaecological surgery; prevention, recognition and management
- Source :
- The Obstetrician & Gynaecologist. 16:19-28
- Publication Year :
- 2014
- Publisher :
- Wiley, 2014.
-
Abstract
- Key content Injury of the urinary tract is the most common major complication of gynaecological laparoscopic surgery. Injury to either bladder or ureter results in significant morbidity for the patient and may lead to litigation. Knowledge of pelvic anatomy, training and meticulous technique are of paramount importance in reducing the incidence of urinary tract injury. Ideally an injury should be identified and repaired during the primary operation, but vigilance in the immediate postoperative period may result in early recognition and intervention. Learning objectives To understand the common risk factors of urinary tract injury at laparoscopy. To learn strategies to prevent injury where possible. To learn strategies for intraoperative and postoperative recognition and repair of such injuries. To understand the significance of multi-disciplinary management of such injuries. Ethical issues Limited evidence shows that laparoscopic hysterectomy may carry a higher risk of urinary tract injury compared with abdominal hysterectomy. Should patients be counselled accordingly?
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Incidence (epidemiology)
Urinary system
Gynaecological surgery
Surgery
Ureter
medicine.anatomical_structure
Intervention (counseling)
medicine
Major complication
business
Laparoscopy
Subjects
Details
- ISSN :
- 14672561
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- The Obstetrician & Gynaecologist
- Accession number :
- edsair.doi...........f2e603e738a198fcae792aaf8b7c0da9