|
KMID : 0358420070500081125
|
|
Korean Journal of Obstetrics and Gynecology
2007 Volume.50 No. 8 p.1125 ~ p.1131
|
|
|
The value of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy(TLH)
|
|
Kim Young-Sang
Kim In-Hyun
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Cystoscopy, Ureteral injury, Laparoscopic, Hysterectomy
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|