Iatrogenic ureteral injury of Obstetrics and Gynecology Clinical Analysis.docVIP

 PAGE \* MERGEFORMAT 12 Iatrogenic ureteral injury of Obstetrics and Gynecology Clinical Analysis [Keywords:] iatrogenic ureteral injury Obstetrics and Gynecology In gynecologic surgery, ureteral injury occurs. The main reason and were located in lower ureter, if early detection and timely treatment, better, an extension that can occur fistula, infection, stones and renal damage, handle the more difficult, to patients enormous physical and psychological suffering. To investigate the occurrence of ureteral injury in gynecologic surgery causes and prevention measures, this retrospective analysis in January 2009 ~ February 2010 in our hospital gynecological surgery in 6 cases of ureteral injury occurred in the injury cause, location, diagnosis, treatment and preventive measures are summarized below. 1 Materials and Methods 1.1 General Information 6 cases of ureteral injury were the first laparotomy and unilateral damage, patients aged 25 to 58 (mean 40) years of age. 1.2 The type of injury and injury type of injury as a direct cause of injury, ureteral ligation involving two types of accidental injury. 2 cases of direct injury, 1 case of retroperitoneal giant ovarian tumor and removed the tumor free when the section of the ureter basin, intraoperative accidental injury completely cut off, and 1 great-rich cells as uterine fibroids, ectopic ureter Traveling. intraoperative separation of adhesions setback when the ureteral injury twist and cut off) .1 myoma surgery in cases of sacral primary ligament suture, resulting in cases of ureteral angulation .1 Separation of pelvic endometriosis adhesions caused local bleeding when bleeding caused by ureter into every corner bar accidental injury, 2 cases were hysterectomy, intraoperative management artery and vein, the needle hurt the part of the ureter or ureter all. 1.3 treatment immediately after surgery found that the bladder with ureteral anastomosis or ureteral anastomosis treatment. If found