Ureteral injury during laparoscopically assisted radical vaginal hysterectomy

Hum Reprod. 1995 Aug;10(8):2047-9. doi: 10.1093/oxfordjournals.humrep.a136233.

Abstract

We report on a case of ureteral injury during laparoscopically radical hysterectomy to treat a patient with a stage IA2 carcinoma of the uterine cervix. The advantage of laparoscopically radical hysterectomy is the prevention of the identification and dissecting of the ureter from a vaginal approach, the main problem in the Schauta technique. However, ureteral injury may still occur while resecting the cardinal ligament without good visualization of the ureter during a vaginal procedure. Because the ureter was well identified and freed laparoscopically, a vaginal approach after uterine removal may be an option for treatment. Moreover, using the ureteral stent as a marker during a modified Schauta technique is helpful in the prevention of ureteral injury during laparoscopically assisted radical vaginal hysterectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Hysterectomy, Vaginal / adverse effects*
  • Hysterectomy, Vaginal / methods
  • Laparoscopy / adverse effects*
  • Neoplasm Staging
  • Treatment Outcome
  • Ureter / injuries*
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / surgery*