PFD Week 2016-Management of Delayed Iatrogenic Ureteral Injuries

Video Transcription

Video Summary

This video discusses the management of delayed iatrogenic ureteral injuries following gynecologic surgery. Ureteral injuries can occur during urologic, gynecologic, and general surgeries, with gynecologic surgery being the most common cause. The rates of these injuries vary based on the route of hysterectomy, with laparoscopic and abdominal routes having higher rates compared to the vaginal route. Unfortunately, many ureteral injuries are not recognized during surgery, leading to delayed diagnosis. The video then presents a case study of a 45-year-old woman who underwent a robotic hysterectomy and experienced a ureteral injury. The management of her injury, including conservative measures and surgical intervention, is explained. The video also discusses the importance of imaging tests such as CT urography and LASIK renal scan in diagnosing and evaluating ureteral injuries. Surgical techniques for robotic ureteroneocystotomy are outlined, along with important considerations and precautions. The case study patient underwent successful surgery and achieved resolution of her obstruction.

Asset Subtitle

Margaret Mueller, MD

Keywords

delayed iatrogenic ureteral injuries

gynecologic surgery

ureteral injuries

laparoscopic hysterectomy

robotic ureteroneocystotomy