Ureteral Injury

CLINICAL FEATURES Operative injury to the ureter results from one of three types of trauma: crushing, transection, or ligation. Each type of injury may be either partial or complete. This complication occurs more often during the performance of abdominal hysterectomy than during any other pelvic surgery. In patients who develop flank pain shortly after surgery, ureteral injury should be suspected. Patients may have fever and costovertebral angle tenderness. A urinalysis should be performed, and if obstruction is suspected, an IVP should be obtained. If obstruction is noted on IVP, it is usually near the ureterovesical junction.

DISPOSITION Patients should be admitted for attempted ureteral catheterization under cystoscopic guidance and possibly exploratomy laporotomy. Percutaneous nephrostomy with delayed repair may also be considered.

Diet Tweak System

Diet Tweak System

Trying To Lose Weight Can Be Tough. But... Not Losing Weight and Gaining What You Lost Back, Sucks. If you've ever felt that no matter what you do to lose weight nothing seems to work. If you've ever felt that there has got to be some kind of a system or way to lose weight...but just have not found it yet.

Get My Free Ebook

Post a comment