Laparoscopic management of a ureteral lesions in Schauta-Stoeckel radical vaginal hysterectomy

We report on the laparoscopic repair of an ureteral injury during radical vaginal hysterectomy according to Schauta-Stoeckel combined with laparoscopic paraaortic and pelvic lymphadenectomy. A 0.5 cm long oval incision of the left ureter 4 cm from the bladder was noticed during laparoscopic inspecti...

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Bibliographic Details
Published in:	Zentralblatt für Gynäkologie Vol. 118; no. 7; p. 414
Main Authors:	Kamprath, S, Janitzky, V, Nöschel, H, Schneider, A
Format:	Journal Article
Language:	German
Published:	Germany 1996
Subjects:	Adult Female Humans Hysterectomy, Vaginal - instrumentation Intraoperative Complications - surgery Laparoscopes Lymph Node Excision - instrumentation Neoplasm Staging Stents Suture Techniques - instrumentation Ureter - injuries Ureter - surgery Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - surgery
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Summary:	We report on the laparoscopic repair of an ureteral injury during radical vaginal hysterectomy according to Schauta-Stoeckel combined with laparoscopic paraaortic and pelvic lymphadenectomy. A 0.5 cm long oval incision of the left ureter 4 cm from the bladder was noticed during laparoscopic inspection at the final stage of the operation. The injury was repaired through a transvesical ureteral stent under laparoscopic guidance with laparoscopic intracorporeal suturing. On postoperative day 10 the ureteral stent was removed. An intravenous urogram taken 4 weeks after the operation showed normal conditions. Therefore primary laparoscopic repair of an ureteral injury is possible and effective.
ISSN:	0044-4197