Korean J Obstet Gynecol.  2011 Apr;54(4):199-204. 10.5468/KJOG.2011.54.4.199.

Clinical efficacy on laparoscopic management of genitourinary tract injuries in gynecological surgery

• Eom JM
• Lee JH
• Kim JY
• Hong JH
• Lee KW
• Choi JS
• Joo KJ

• KMID: 2013237
• DOI: http://doi.org/10.5468/KJOG.2011.54.4.199

Abstract

OBJECTIVE
To assess efficacy 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 fistula. 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.

Keyword

Laparoscopy; Genitourinary tract injury; Ureter injury; Bladder injury; Vesicovaginal fistula

MeSH Terms

Body Mass Index
Female
Fistula
Follow-Up Studies
Gynecologic Surgical Procedures
Gynecology
Humans
Laparoscopy
Postoperative Complications
Retrospective Studies
Ureter
Urinary Bladder
Vesicovaginal Fistula

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