의인성 요관손상의 임상적 특징과 치료
Management of Iatrogenic Ureteral Injury
이태훈, 신중호,
소속 상세정보
이태훈 ( )
순천향대학교
신중호 ( )
순천향대학교
KMID : 0358319920330030505
Abstract
We treated 19 patients with ureteral injuries during the recent 7 years. Gynecologic operations were the most common antecedent surgical procedures (89%). The diagnosis of ureteral injuries was made immediately in 3 patients and was delayed 3 to
78
days
in 16 patients. All of the 3 injuries recognized during an operation were repaired at the time of injury. Of the 16 patients with injuries recognized in the postoperative period, 1 patients was managed with percutaneous nephrostomy, 14 patients
received
corrective surgery successfully, but the corrective surgery in remaining patient was failed and ultimately resulted in a nephrectomy because of avascular necrosis of ureter during operation. Therefore, it is better to do corrective surgery
primarily in
patients with ureteral injuries recognized postoperatively in order to decrease percutaneous nephrostomy associated morbidity and hospital admission period.
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