[Analysis of urinary tract injury during gynecological surgery performed with preoperative ureter catheterization or intraoperative ureter control].
作者信息
Szpakowski M, Kamiński T, Wilczyński J R, Malinowski A, Nowak M, Szpakowski A, Władziński J, Raczkowska Z, Majek A
机构信息
Katedry Połoznictwa i Ginekologii WAM w łodzi.
出版信息
Ginekol Pol. 2001 Dec;72(12A):1507-12.
DESIGN
To analyze urinary tract injuries during gynecological surgery performed with preoperative ureter catheterization or intraoperative ureter control.
MATERIAL AND METHODS
Retrospective analysis of 1986 chosen gynecological operations performed between 1990-1998 in Dept. of Gynecological Surgery Polish Mother's Health Center Institute.
RESULTS
The overall frequency of urinary injuries was 2.15%. It was less during gynecological surgery performed with ureter catheterization compared to intraoperative ureter control only (ureter: 0.30% vs. 0.55%, p = 0.22; urinary bladder: 0.40% vs. 0.90%, p < 0.05).
CONCLUSION
1/ urinary injury was twice as frequent during ureter control than during ureter catheterization, 2/ urinary injury was the most frequent complication during hysterectomy with adnexa, 3/ the results of our analysis should be treated as a vote "for" ureter catheterization before gynecological surgery.
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