Urinary tract injuries during laparoscopically assisted hysterectomy: causes and prevention.
Two patients who had urinary fistulas after laparoscopic hysterectomy are described. In both cases the ureters were dissected free and the uterus was freed laparoscopically. Injury to the urinary tract occurred during transvaginal closure of the vaginal cuff. Preventative strategies are discussed.
Kadar
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Division of Gynecologic Oncology, Jersey Shore Medical Center, University of Medicine and Dentistry-Robert Wood Johnson Medical School, Neptune, NJ 08512.
Lemmerling
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L
D000328:Adult; D018284:Cystadenocarcinoma, Serous / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000601:surgery; D010052:Ovariectomy / Q000009:adverse effects; D014515:Ureteral Diseases / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery