Ja. Goodno et al., URETERAL INJURY IN GYNECOLOGIC SURGERY - A 10-YEAR REVIEW IN A COMMUNITY-HOSPITAL, American journal of obstetrics and gynecology, 172(6), 1995, pp. 1817-1822
OBJECTIVE: Our purpose was to review and analyze ureteral injuries inc
idental to gynecologic surgery in a community hospital. STUDY DESIGN:
During the study period from Jan. 1, 1983, through Dec. 31, 1992, all
patient records in which ureteral injury resulted from gynecologic sur
gery were reviewed. The operative procedure, pathologic result, locati
on of injury, and type of repair were studied. Additionally, the time
of recognition and diagnostic methods in these ureteral injuries were
analyzed. RESULTS: Nineteen ureteral injuries were incurred during the
performance of 4665 gynecologic surgical procedures, an incidence of
0.4%. Patients ranged in age from 23 to 70 years. Recognition of the u
reteral injury occurred intraoperatively in 10 patients and was delaye
d from 1 to 16 days in 9 patients. Six of the ureteral injuries were r
epaired by end-to-end anastomosis, 3 by deligation, and 10 by ureteron
eocystostomy. Immediate postoperative urinary integrity was found in a
ll patients. CONCLUSION: Gynecologic surgical procedures in this study
resulted in a 0.4% incidence of ureteral injury, and repair of these
injuries was successful in all cases for the short term.