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KMID : 0358420110540040199
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 4 p.199 ~ p.204
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CLINICAL EFFICACY ON LAPAROSCOPIC MANAGEMENT OF GENITOURINARY TRACT INJURIES IN GYNECOLOGICAL SURGERY
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Eom Jeong-Min
Lee Jung-Hun
Kim Jee-Yeon
Hong Jin-Hwa
Lee Kyo-Won
Choi Joong-Sub
Joo Kwan-Joong
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Abstract
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Objective : To assess effi cacy and feasibility of laparoscopic surgery for genitourinary tract injuries related with gynecological surgery.
Methods: We conducted a retrospective study of 38 patients undergoing laparoscopic surgery to treat genitourinary tract injury which occurred during gynecologic surgery in Kangbuk Samsung Hospital from March 2003 to February 2010. We analyzed the demographic and clinical characteristics including history of previous abdominal surgery, the type of injury, type of repair procedure, and any complications.
Results: Of the 38 patients, 27 had urinary bladder injury, six had ureter injury including ureterovaginal fistula in one, and five had vesicovaginal fi stula. The median age of patients, the median body mass index, and the median follow-up period were 45 years (31 to 71 years), 21.4 kg/m2 (18.8 to 31.4 kg/m2), and 39 months (16 to 78 months), respectively. There were no laparoconversions. No intraoperative or postoperative complications occurred. All patients have been asymptomatic, and their follow-up intravenous pyelograms and ultrasound examinations have been normal.
Conclusion: Laparoscopic repair of genitourinary tract injuries occurred during gynecologic surgery is feasible for experienced laparoscopic surgical team in gynecology.
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KEYWORD
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Laparoscopy, Genitourinary tract injury, Ureter injury, Bladder injury, Vesicovaginal fi stula
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