Injury in gynecologic surgery Urinary Treatment Experience of 16 cases.docVIP

 PAGE \* MERGEFORMAT 7 Injury in gynecologic surgery Urinary Treatment Experience of 16 cases [Keywords:] gynecologic surgery, urinary injury, treatment In recent years the level of primary hospital rapid increase in medical technology, surgical gynecology, Vice damage caused by the urinary system significantly reduced compared with the first, but the expansion of the scope of the surgery and with the close anatomical relationship of the urinary system is still not completely avoided, often to the patients and family caused great harm to physical and mental health, attention should be paid. 1 Clinical data March 2003-March 2009 No. 407 Hospital of PLA were treated for complicated urinary tract injury in gynecologic surgery (ureter, bladder and urethral injury in 16 cases, aged 22 to 65 years, mean 44.5 years old, line 9 cases of hysterectomy (6 cases of abdominal, vaginal in 3 cases, 56.25%; cesarean section in 4 cases, 25%, 2 cases of dystocia, accounting for 12.5%, vaginal plasty in 1 case, accounting for 6.25%. 10 cases of ureteral injury, bladder injury 5 cases of urethral injury in 1 case (occurred in vaginoplasty. intraoperative diagnosis in 10 cases, the performance of a direct discovery or to have more surgery, “exudate”, found in 6 patients after surgery, showed a lot of abdominal or vaginal exudate leakage. according to the circumstances anastomosis ureter, ureterovesical implantation, bladder repair, bladder and ureter-vaginal fistula vaginal fistula repair, urethral repair. 2 Discussion Injuries reasons: (1 ureter by the pelvic tumor infiltration or squeeze-pressure, changed its position, leading to the local anatomy is unclear, (2 mistakenly ureter as uterine ligament or fallopian tube to be cut or ligation, (3 occurrence of accidents such as hemorrhage confusion when the clamp or large suture hemostasis easy to damage the ureter, (4 stump sutured hysterectomy, such as poor anesthesia, bladder filling, the needle punctured the bla