Korean J Obstet Gynecol.
2007 Aug;50(8):1125-1131.
The value of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy (TLH)
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea. kihja@paran.com
Abstract
OBJECTIVE
To estimate the effect of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy.
METHODS
Retrospectively 598 women who received total laparoscopic hysterectomy from August 2004 to August 2006 were included. They were divided into two groups : no cystoscopic examination (n=398) group (Group A) and routine intraoperative diagnostic cystoscopic examination after intravenous indigo-carmine injection (n=200) group (Group B). The rates of ureteral injury after total laparoscopic hysterectomy were compared between both groups.
RESULTS
Postoperative ureteral injury was observed in 3 case of Group A (3/398 : 0.75%) and in no case of Group B. In 2 cases of group B (2/200 : 1.00%), Intraoperative ureteral injury was detected by cystoscopy.
CONCLUSION
Routine intraoperative diagnostic cystoscopy allows for early recognition and treatment of obstructive ureteral injuries, and reduces the rate of late postoperative ureteral complications during advanced laparoscopic procedures.
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