Ureteral injuries complicating vascular surgery: is repair indicated?
We have managed 8 patients who sustained an iatrogenic ureteral injury during either placement or revision of a vascular graft. Primary repair was performed in all 5 patients diagnosed at injury. Persistent extravasation necessitating nephrectomy occurred in 2 of these patients. The diagnosis was delayed in 3 patients. Two patients underwent successful ureteral reconstruction and 1 required nephrectomy. Graft complications did not occur. Ureteral repair is recommended as the preferred method to manage ureteral injuries associated with vascular reconstruction.
Spirnak
J P
JP
Division of Urology, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Hampel
N
N
Resnick
M I
MI
D000368:Aged; D000369:Aged, 80 and over; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000601:surgery; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000009:adverse effects*