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4 lip 2023 · If there is an intra-operative crush injury or ureteral contusion that is immediately identified, such as clamping the ureter, suturing the ureter, stapling the ureter, or applying a clip to the ureter, it can be managed based on the extent of injury.
This is the treatment of choice for lower ureteral injuries that cannot be successfully repaired with ureteroneocystostomy alone (see image below). This procedure involves mobilizing the...
1 paź 2021 · When in doubt, the injured portion of the ureter should be debrided before uretero-ureterostomy. A ureteral stent should be left in-situ for 3–6 weeks and followed with an intravenous pyelography. Another option for the management of ureteral injuries is re-implantation of the ureter into the bladder (ureteroneocystostomy).
31 gru 2023 · The healthy ureter is then spatulated and reimplanted into a different site of the bladder without tension, using a 4/0 absorbable suture material (Monocryl, Vicryl). The anastomosis should be performed in an anti-reflux way (see the techniques below) and stented for 3–6 weeks.
13 lut 2024 · The surgical management of iatrogenic ureteral injuries, whether identified early or late, is discussed here. Ureteral injuries following specifically trauma and gynecologic or colorectal procedures are reviewed elsewhere: (See "Overview of traumatic and iatrogenic ureteral injury".)
24 sie 2023 · Treatment may include placement of a ureteral stent or surgical repair, depending on the severity and location of injury. The clinical features, diagnosis, and treatment of ureteral injuries are reviewed. The diagnosis and management of upper GU tract injury, lower GU tract injury, and injury to other GU organs are discussed separately.
15 sty 2013 · Initial management should involve ureteric stent placement or percutaneous nephrostomy drainage. In selected patients, surgical reconstruction might be the optimal approach. Decisions regarding...
