Management of urinary bladder injuries in laparoscopic assisted vaginal hysterectomy

Acta Obstetricia Et Gynecologica Scandinavica
C L LeeY K Soong

Abstract

To illustrate our experience and evolution in management of urinary bladder injury in laparoscopically assisted vaginal hysterectomy. Four hundred and twenty-two women underwent laparoscopically assisted vaginal hysterectomy with or without adnexectomy during the period March 1991-September 1994. The indicators for hysterectomy included adenomyosis, myoma uteri, intractable menorrhagia, endometriosis and severe pelvic adhesion. There are six cases of urinary bladder injuries resulting from our 422 cases of laparoscopically assisted vaginal hysterectomy. The first two cases of urinary bladder injuries were repaired through exploratory laparotomy. The third case was repaired through laparoscopic intracorporeal suture. The technique of the automatic linear stapler through laparoscopy was used in case 4. The last two cases were repaired vaginally. All these patients recovered well after primary repair with an indwelling catheter for five to seven days regardless of the method of repair. The operation time for repairing the injuries is shortest in vaginal approach. The urinary bladder injury is one of the most common complications associated with laparoscopically assisted vaginal hysterectomy. Early detection and treatment enable co...Continue Reading

Citations

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Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Hanh Tran
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