Please use this identifier to cite or link to this item:
Title in Portuguese: Transvaginal repair of ureteral transection post gynecological surgery: a case report
Author: Bilhar, Andreisa Paiva Monteiro
Magalhães, Thaís Fontes
Bezerra, Leonardo Robson Pinheiro Sobreira
Karbage, Sara Arcanjo Lino
Vasconcelos Neto, Jose Ananias
Augusto, Kathiane Lustosa
Keywords: Ureter
Procedimentos Cirúrgicos Ginecológicos
Procedimentos Cirúrgicos Operativos
Issue Date: Apr-2019
Publisher: Revista de Medicina da UFC
Citation: BILHAR, Andreisa Paiva Monteiro et al. Transvaginal repair of ureteral transection post gynecological surgery: a case report. Rev Med UFC, Fortaleza, v. 59, n. 2, p. 62-65, abr./jun. 2019.
Abstract: Introduction: Ureteral injuries are relatively common in gynecological procedures. The repair of such injuries has traditionally been done through open surgery; however, minimally invasive techniques have become an option in some cases. We report the case of a ureteroureteral anastomosis successfully transvaginally approached. Case report: a 70-year-old woman developed hydronephrosis and acute renal failure after vaginal hysterectomy, parametrectomy, McCall culdoplasty, sacrocolpopexy, posterior colpoplasty and perineoplasty. She was reoperated, and had bilateral ureteral injuries correctly identified and repaired through the vaginal route. Discussion: Difficulties encountered during transvaginal surgery include ureter identification and the narrow surgical field. In order for a vaginal repair to be performed, surgeons must have expertise with vaginal surgery and know the anatomy of the ureter as seen through the vagina. Additionally, JJ stents can be used to facilitate repair. Conclusion: Vaginal repair of ureteral injuries is feasible and has potentially less morbidity than the standard abdominal approaches, but further studies are needed in order to determine its efficacy and complication rates.
ISSN: 2447-6595 (Online)
Appears in Collections:DMC - Artigos publicados em revistas científicas

Files in This Item:
File Description SizeFormat 
2019_art_apmbilhar.pdf2,99 MBAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.