Iatrogenic ureteral injuries operation time.docVIP

 PAGE \* MERGEFORMAT 9 Iatrogenic ureteral injuries operation time [Keywords:] ureteral injury Iatrogenic ureteral injuries and more damage to the main directly damage is less common, among which the highest incidence of gynecologic surgery. Iatrogenic ureteral injury if early detection, prompt treatment, the prognosis good effect, otherwise easily lead to urinary leakage, infection and renal damage. In order to choose the appropriate timing of surgical treatment in our hospital from 1998 to 2005 were treated 20 cases of iatrogenic ureteral injury were analyzed retrospectively, are as follows. 1 Materials and Methods 1.1 General information on 20 patients: 4 males, accounting for 20%, female 16 cases, 80%, aged 28 to 73 years, mean 45 years. The specific case shown in Table 1, Table 2. Table 1 20 cases of iatrogenic ureteral injury in gynecologic surgery patients because the number of general surgical instrumentation cavity number of cases the number of cases hysterectomy resection of the sigmoid colon 2 9 3 oophorectomy ureteroscopic stone 1 2 retroperitoneal tumor resection by cystoscopy, cesarean section to take DJ Pipe 1 1 - transurethral ureteral 1 balloon dilatation Table 2 20 cases of iatrogenic ureteral injuries (cases of ureteral injury found in parts of the time completely cut off under the Injury of the 12 patients found that 13 middle 9 6 full ligation injury (bilateral in 1 case 6, paragraph 1 week after injury in a hole 4 on 3 3 weeks after injury the whole paragraph 1 1 2 4 weeks after mucosal injury 2 1.2 Diagnosis of intraoperative findings in 13 cases, including 5 cases of intraoperative tilting ends found in possession of liquid leakage, 2 cases were found in the side of the ureteral ligation, and 1 case of retroperitoneal tumor was found 14 cm long tube tilting a and excision, 1 case ureterolithotomy after 4 months by cystoscopy we take the “J” tube with resistance when pulled hard, see pipe on stone formation, part o