Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 12 , ISSUE 5 ( September-October, 2020 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Ureteric Reimplantation in Distal Ureteric Injury Post-total Laparoscopic Hysterectomy: A Case Series

Chandra P Dadhich, Nidhi Mehta, Tripti Dadhich, Anita K Sharma, Disha Gupta, Priyanka Asodariya

Keywords : Ureteric reimplantation, Ureterovaginal fistula,Distal ureteral strictures

Citation Information : Dadhich CP, Mehta N, Dadhich T, Sharma AK, Gupta D, Asodariya P. Laparoscopic Ureteric Reimplantation in Distal Ureteric Injury Post-total Laparoscopic Hysterectomy: A Case Series. J South Asian Feder Obs Gynae 2020; 12 (5):291-294.

DOI: 10.5005/jp-journals-10006-1826

License: CC BY-NC 4.0

Published Online: 23-03-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Ureteral injuries have been recognized as a potential complication of gynecological surgical procedures since the inception of our discipline; incidence ranging from 0.5 to 1.5% and morbidity associated with it may be serious. Traditionally, most ureterovaginal fistulas have been repaired by ureteroneocystostomy. Open ureteral reimplantation is a potentially morbid surgical procedure. Endourological techniques are highly successful in treating posthysterectomy ureteral injuries. The objective of this presentation is to relate our experience and result with laparoscopic ureteral reimplantation. Materials and methods: Five patients with complaints of leakage of urine per vaginum postoperatively on day 12–24 (post-TLH) presented for treatment. After diagnosis, treatment of ureterovaginal fistula was performed completely laparoscopically. Laparoscopic ureteral reimplantation was done. Results: No major intraoperative or postoperative complications were encountered. The operating room time was 120 minutes (range 120–240 minutes). The average hospital stay was 4 days. Patients had a successful outcome defined as no evidence of radiographic obstruction and no clinical complaints of persistent renal colic or any other urinary symptoms. Conclusion: Our experience demonstrates that laparoscopic ureteral reimplantation is an effective minimally invasive treatment option for distal ureteral strictures.


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