Ureteral injury due to a Harmonic scalpel during laparoscopic salpingo-oophorectomy.
We present an unusual complication of a ureteral injury occurring during a bilateral laparoscopic salpingo-oophorectomy with the Harmonic scalpel (HS). The case illustrates in the same patient the versatility of the HS as a laparoscopic surgical instrument and energy source while at the same time demonstrating the potential for adverse, unexpected complications.
Vetere
Patrick F
PF
Department of Obstetrics & Gynecology, Winthrop University Hospital, 259 First Street, Mineola, NY 11501, USA. pvetere@winthrop.org
Apostolis
Costas
C
D004564:Electrocoagulation / Q000295:instrumentation*; D004715:Endometriosis / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D010052:Ovariectomy / Q000009:adverse effects* / Q000295:instrumentation; D015607:Stents; D014513:Ureter / Q000293:injuries*; D014515:Ureteral Diseases / Q000209:etiology / Q000628:therapy; D014548:Urinary Fistula / Q000628:therapy