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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2010, Number 04

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Ginecol Obstet Mex 2010; 78 (04)

Accidents and incidents in gynecologic surgery

Quesnel-García BC, Avilés-Cabrera RN
Full text How to cite this article

Language: Spanish
References: 9
Page: 238-244
PDF size: 311.75 Kb.


Key words:

gynecologic surgery, cystostomy, ureterostomy, surgical hemorrhage, enterostomy.

ABSTRACT

Gynecologic surgery often entails meticulous dissection in areas close to the bladder, rectum, ureters and major vessels of the pelvis. The close anatomical relationship between these bodies that frequently makes are affected during pelvic surgery. When a complication occurs, it is vital to recognize and treat appropriately, emphasizing that gynecologists should handle its own complications and when they exceed the capacities of their own specialty, as in the case of unusual or complex lesions, should be sent assistance of a colleague in another specialty to solve the problem. To avoid intraoperative or injury is very important to timely diagnose an adequate knowledge of anatomy, surgical techniques using methodical and meticulous, with delicate sharp dissection and manipulation of tissues with a high index of suspicion constant in addition to routine cystoscopy after surgery to rule out injury. Once diagnosed the injury, repairing it at primary surgery is usually easier, successful and results in less morbidity.


REFERENCES

  1. Mann WJ. Complications of gynecological surgery. In: UpTo-Date, Lockwood ChJ, editor. MA: Waltham, 2008.

  2. Hurt WG, Segreti EM. Intraoperative ureteral injuries and ureterovaginal fistulas. In: Nichols DH, Clarke-Pearson DL. Gynecologic, obstetric and related surgery. 2nd ed. Missouri: Mosby; 2000;p:854-863.

  3. Utrie JW. Bladder and ureteral injury: prevention and management. Clin Obstet Gynecol 1998;41:755-763.

  4. Bai SW, Huh EH, Jung da J, et al. Urinary tract injury during pelvic surgery: incidence rates and predisposing factors. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:360-364.

  5. Gilmour DT, Dwyer PL, Carey MP. Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol 1999;94:883-889.

  6. Elliott SP, McAninch JW. Ureteral injuries: external and iatrogenic. Urol Clin North Am 2006;33:55-66.

  7. Meraz AD, Rodríguez CS, Ramírez IC, y col. Lesiones ureterales atendidas en el Instituto Nacional de Perinatología. Ginecol Obstet Mex 2007;75:187-192.

  8. Rackley R, Vasavada S, Battino BS. Bladder trauma. Emedicine, 2008. 15/07/2006. Disponible en: .

  9. Parker LP, Bruner J. Gynecologic surgery for obstetrics patients. In: Rock JA, Jones HW. Te Linde’s operative gynecology. 9th ed. Philadelphia: Lippincott Williams Wilkins; 2003;p:828-863.




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C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2010;78