The value of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy (TLH) / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 1125-1131, 2007.
Article
in Korean
| WPRIM
| ID: wpr-95971
ABSTRACT
OBJECTIVE:
To estimate the effect of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy.METHODS:
Retrospectively 598 women who received total laparoscopic hysterectomy from August 2004 to August 2006 were included. They were divided into two groups no cystoscopic examination (n=398) group (Group A) and routine intraoperative diagnostic cystoscopic examination after intravenous indigo-carmine injection (n=200) group (Group B). The rates of ureteral injury after total laparoscopic hysterectomy were compared between both groups.RESULTS:
Postoperative ureteral injury was observed in 3 case of Group A (3/398 0.75%) and in no case of Group B. In 2 cases of group B (2/200 1.00%), Intraoperative ureteral injury was detected by cystoscopy.CONCLUSION:
Routine intraoperative diagnostic cystoscopy allows for early recognition and treatment of obstructive ureteral injuries, and reduces the rate of late postoperative ureteral complications during advanced laparoscopic procedures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ureter
/
Retrospective Studies
/
Cystoscopy
/
Hysterectomy
Type of study:
Diagnostic study
/
Observational study
/
Screening study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2007
Type:
Article
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