[Laparoscopic management of a ureteral lesions in Schauta-Stoeckel radical vaginal hysterectomy].
We report on the laparoscopic repair of an ureteral injury during radical vaginal hysterectomy according to Schauta-Stoeckel combined with laparoscopic paraaortic and pelvic lymphadenectomy. A 0.5 cm long oval incision of the left ureter 4 cm from the bladder was noticed during laparoscopic inspection at the final stage of the operation. The injury was repaired through a transvesical ureteral stent under laparoscopic guidance with laparoscopic intracorporeal suturing. On postoperative day 10 the ureteral stent was removed. An intravenous urogram taken 4 weeks after the operation showed normal conditions. Therefore primary laparoscopic repair of an ureteral injury is possible and effective.
Kamprath
S
S
Abt. für Frauenheilkunde, Friedrich-Schiller-Universität Jena.
Janitzky
V
V
Nöschel
H
H
Schneider
A
A
D000328:Adult; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000295:instrumentation*; D007431:Intraoperative Complications / Q000601:surgery*; D020706:Laparoscopes; D008197:Lymph Node Excision / Q000295:instrumentation; D009367:Neoplasm Staging; D015607:Stents; D013536:Suture Techniques / Q000295:instrumentation; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery
Laparoskopische Versorgung einer Ureterläsion bei radikaler vaginaler Hysterektomie nach Schauta-Stoeckel.