Laparoscopic repair of ureteral injuries.
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.
Tulikangas
P K
PK
Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Gill
I S
IS
Falcone
T
T
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