Repair of Multiple Complicated Genitourinary Tract Injuries following Emergent C-Hysterectomy (Spanish)-Repair of Multiple Complicated Genitourinary Tract Injuries following Emergent C-Hysterectomy (Spanish)

Repair of Multiple Complicated Genitourinary Tract Injuries following Emergent C-Hysterectomy (Spanish)

Video Transcription

Video Summary

The video presentation discusses a case of genitourinary tract injuries after emergent hysterectomy in a 35-year-old woman with a history of previous cesarean sections. The patient developed sepsis and pelvic abscesses, along with a vesico-vaginal fistula. Surgical intervention was planned, and a meticulous dissection was performed to remove necrotic tissue and repair the bladder and ureteral injuries. Ureteral stents were placed to aid in identification during the dissection. The bladder was repaired in multiple layers, and a peritoneal flap and omental flap were used for interposition. Postoperatively, the patient showed improvement and had normal renal function. The main takeaways from the video include early identification of injuries, collaboration, and considering a minimally invasive approach.

Keywords

genitourinary tract injuries

emergent hysterectomy

sepsis

vesico-vaginal fistula

ureteral stents