Intraoperative Management of Urological Injuries in Obstetrics and Gynaecological Surgeries: 1 Year Experience in A Tertiary Care Centre.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction:Gynaecological and obstetric surgeries, potentially lead urological injuries due to close embryological and anatomical approximation of female genital and urinary tract. Acute complications like ureteric lacerations, tying of ureters, bladder lacerations and bladder incision are common. Methods and material: We have collected data retrospectively from departmental registry of Department of urology, NRS Medical College And hospital.In nine patients who had iatrogenic injury to bladder and ureter, urologist help was called for . Results : 9 cases of urological injuries from April 2017 to March 2018 who underwent hysterectomy or caesarean section were retrospectively reviewed of which 5 (55.55%) involving urinary bladder and 4 (44.45%) involving lower ureters. All 5 cases of bladder injuries occur during LSCS procedure and all 4 cases of ureteric injuries occur during abdominal hysterectomy procedure.3 out of 5 patients having bladder injuries occur in patients with a previous history of LSCS. 4 cases of bladder injuries are stage 3 type . One patient had complete transection at dome of bladder Conclusion: A thorough understanding of the anatomy of the pelvis is necessary in order to prevent and manage lower urinary tract misadventures
Authors and Affiliations
Dr. Paragmani Talukdar, Dr. Rohit Kumar, Dr. Tapan Kr Mandal, Dr. Tapas Kr Majhi, Dr. Sunirmal Choudhury, Dr. Shashanka Dhanuka, Dr. Maharaj Mondal, Dr . Bishwarup Guha, Dr Gaurav Tulsyan
Keywords
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- EP ID EP555146
- DOI 10.9790/0853-1803070811.
- Views 51
- Downloads 0
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