Clinical efficacy on laparoscopic management of genitourinary tract injuries in gynecological surgery.

Eom, Jeong Min; Lee, Jung Hun; Kim, Jee Yeon; Hong, Jin Hwa; Lee, Kyo Won; Choi, Joong Sub; Joo, Kwan Joong

doi:2011.54.4.199

Obstet Gynecol Sci > Volume 54(4); 2011 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2011;54(4):199-204.
DOI: https://doi.org/10.5468/KJOG.2011.54.4.199 Published online April 1, 2011.

Clinical efficacy on laparoscopic management of genitourinary tract injuries in gynecological surgery.

Jeong Min Eom, Jung Hun Lee, Jee Yeon Kim, Jin Hwa Hong, Kyo Won Lee, Joong Sub Choi, Kwan Joong Joo

Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. yjjy.choi@samsung.com

Abstract

OBJECTIVE
To assess efficacy and feasibility of laparoscopic surgery for genitourinary tract injuries related with gynecological surgery. METHODS: We conducted a retrospective study of 38 patients undergoing laparoscopic surgery to treat genitourinary tract injury which occurred during gynecologic surgery in Kangbuk Samsung Hospital from March 2003 to February 2010. We analyzed the demographic and clinical characteristics including history of previous abdominal surgery, the type of injury, type of repair procedure, and any complications. RESULTS: Of the 38 patients, 27 had urinary bladder injury, six had ureter injury including ureterovaginal fistula in one, and five had vesicovaginal fistula. The median age of patients, the median body mass index, and the median follow-up period were 45 years (31 to 71 years), 21.4 kg/m2 (18.8 to 31.4 kg/m2), and 39 months (16 to 78 months), respectively. There were no laparoconversions. No intraoperative or postoperative complications occurred. All patients have been asymptomatic, and their follow-up intravenous pyelograms and ultrasound examinations have been normal. CONCLUSION: Laparoscopic repair of genitourinary tract injuries occurred during gynecologic surgery is feasible for experienced laparoscopic surgical team in gynecology.

Key Words: Laparoscopy, Genitourinary tract injury, Ureter injury, Bladder injury, Vesicovaginal fistula