-
Original Article
-
Korean J Obstet Gynecol. 2007;50(8):1125-1131. Published online August 1, 2007.
- The value of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy (TLH).
-
Young Sang Kim, In Hyun Kim
-
Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea. kihja@paran.com
- 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.
Keywords :Cystoscopy;Ureteral injury;Laparoscopic;Hysterectomy
