title: Laparoscopic repair of ureteral injuries.
abstract: OBJECTIVE
  To assess the outcome of laparoscopic repair of pelvic ureter injuries.
  
  
  METHODS
  Retrospective case series (Canadian Task Force classification II-2).
  
  
  METHODS
  Large urban tertiary care medical center.
  
  
  METHODS
  Four women who had pelvic ureter injuries and laparoscopic repair during laparoscopic gynecologic procedures.
  
  
  METHODS
  Laparoscopic ureteroureterostomy.
  
  
  RESULTS
  All injuries were identified immediately and repaired laparoscopically. No patient required repeat surgery. On assessment by physical examination, serum creatinine, and intravenous urogram, no patient had evidence of renal insufficiency. One woman had a narrowing at the site of ureteroureterostomy 6 weeks after repair; it was resolved on urogram 8 months after the injury.
  
  
  CONCLUSIONS
  Laparoscopic ureteroureterostomy is feasible in some cases of ureteral injury. Experience with laparoscopic suturing is necessary to perform this procedure.
authors.affiliation: Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
authors.forename: P K
authors.initials: PK
authors.lastname: Tulikangas
authors.forename: I S
authors.initials: IS
authors.lastname: Gill
authors.forename: T
authors.initials: T
authors.lastname: Falcone
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D012189:Retrospective Studies; D014513:Ureter / Q000293:injuries*; D014519:Ureterostomy / Q000379:methods*; D014947:Wounds and Injuries / Q000601:surgery