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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.
Sony Bhardwaj
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
Apr 24th, 2020 9:45 am
Thank you, it's very clear, very useful, and realistic. Thanks for sharing the Hysterectomy video.
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
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..
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
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.
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