Incidence of Ureteric injury in complicated cesarean section and late complications
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2015, Vol 5, Issue 3
Abstract
Background;Most common operation in gynecological department is c/s ,high percentage of c/s are complicated resulting with many early and late complication, one of intraoperative complication is ureteric injury and or ureteric ligation. Patients and methods:This study was done in Bint- AL-huda teaching hospital ,AL-hussein teaching hospital ,other hospitals of Thiqar governorate through 3 years between may 2011- may 2014 on 34 patients get ureteric injury in a complicated C/S discovered either intra operatively or as an early post operative complication with confirm diagnosis by IVU. those patients correct the defect by re anastamosis with ureteric catheterization for two months then fallow up to detect any post operative ipsilateral renal complication. Results:We get 26 patient (76.4%) was complain from intermittent ipsilateral renal symptoms , colicky pain in nature radiating to the back associated with nausea and vomiting , repeated U/S showing ipsilateral mild dilated PCS with chronic U.T.I in general urine examination. Conclusion:Ureteric injury is a major complication in complicated C/S which lead to chronic complaining of the patients from chronic U.T.I and a sequence of ureteric stenosis in spite of introducing ureteric catheter, so we advise that in any complicated C/S we need a urosurgical doctor in addition to the gynecologist surgeon to avoid as much as possible ureteric injury.
Authors and Affiliations
1Dr. Alaa Hussain, , 2Dr. Muhanad Abduredha , 3Dr. Mazin Addy
Keywords
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