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Total Laparoscopic Hysterectomy with Ureteral Stent Placement
Gynecology / Aug 31st, 2019 1:42 pm     A+ | a-


Ureteral injury during gynecological surgery is a common problem and prevention is very much required. After the advent of laparoscopy iatrogenic ureteral injury during gynecological surgery has increased and it is associated with increased morbidity when not diagnosed during the initial surgery.

Preoperative insertion of ureteral catheters may enhance intraoperative recognition of injury and repair, but it is controversial. We sought to analyze the costs of this approach.

Using Infrared Ureteric Catheter Is beneficial as it will decrease the ureteric injury. Ureteric catheterization may facilitate prompt recognition of ureteral injury during the initial procedure, which is associated with early repair and decreased morbidity.

In women who sustained a ureteral injury during a laparoscopic hysterectomy, a percutaneous nephrostomy need to be performed and they underwent surgical repair during a separate hospitalization several weeks later.

It is true that there are inherent risks of ureteral catheterization, including perforation, transient edema and obstruction, but literature search supported a low incidence of these complications.

The decision to perform universal cystoscopy or ureteral catheterization during a total laparoscopic hysterectomy should be based on a number of factors. When thinking about cost‐effectiveness, laparoscopic surgeons should consider their personal ureteral injury rate overall in hysterectomy surgery and the risk any specific patient might carry based on her history or pathology.

We believe that ureteral catheterization should be considered for cost savings in patient undergoing a benign laparoscopic total or radical hysterectomy.
9 COMMENTS
Sony Bhardwaj
#1
Apr 24th, 2020 9:40 am
Thanks for sharing the Laparoscopic Hysterectomy surgery video. Your lectures are inspiring and precise. Keep up the noble work!
Dr. Sameer
#2
Apr 24th, 2020 9:45 am
Thank you, it's very clear, very useful, and realistic. Thanks for sharing the Hysterectomy video.
Dilara
#3
May 11th, 2020 8:11 am
Thank you so much for the using Infrared Ureteric catheter is beneficial as it will decrease the ureteric injury it helps me understand clearly. Impressive training presentation Dr Mishra your demonstration of each technique was very well presented.
Dr. Aaryan Aarif
#4
May 18th, 2020 8:00 am
Thank you soooo much! for the using Infrared Ureteric catheter is beneficial as it will decrease the ureteric injury. Thank you so much for the video.I learnt a lot very informative video,Thank you for sharing..
AMIT KUMAR
#5
May 21st, 2020 10:18 am
This video is excellent in presentation. Excellent surgery technic and also safe. Thanks for uploading the video of Total Laparoscopic Hysterectomy with Ureteral Stent Placement.
Dr. Rajeev Ranjan
#6
May 22nd, 2020 11:25 am
Great presentation of Total Laparoscopic Hysterectomy with Ureteral Stent Placement. I am thankful for this educative video is helping me a Lot's.
Dr. Savyasachi Dasgupta
#7
Jun 10th, 2020 7:21 am
Great surgery and great demonstration by great surgeon, Thanks Dr. Mishra for sharing this video of Total Laparoscopic Hysterectomy with Ureteral Stent Placement.
Dr. Nithi Vim Busca Furico
#8
Jun 12th, 2020 11:51 am
I am so grateful to all of you doctors for excellent demonstration of Laparoscopic Hysterectomy with Ureteral Stent Placement. Awesomely informative and perfectly explained! Thank you so much Dr. Mishra you teach us such a interesting technique how to safe ureter using advanced technologies. I learned a lot.
Dr. Thirukkami Karthikeyan
#9
Jun 12th, 2020 12:06 pm
wow this was so comprehensive and easy to understand. I watched your video while studying Total Laparoscopy Hysterectomy surgery. Sir your wonderful teaching technique how to safe ureter using Ureteral Stent Placement. Very interesting and educative it was a lot of helpful for me. Thank you so much Dr. R. K. Mishra for your wonderful video.
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