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Ureteral Injuries During Surgery

Ureteral Injuries During Surgery Ureteral injuries during the course of surgical procedures within the pelvis occur more frequently than presumed. A series of 87 patients with ureteral injuries is reviewed from the standpoint of pathogenesis, diagnosis, treatment, end results, and prophylaxis. The ideal time for the repair of the injured ureter is at the time of operation or early in the period of convalescence. The procedure of choice is end-to-end anastomosis of the severed spatulated ends of the ureter. When this cannot be accomplished, reimplantation of the ureter into the bladder is recommended. Ligation of the proximal severed end of the ureter is rarely indicated, as a surgical procedure is now available that usually spares the kidney. Preoperative insertion of ureteral catheters as a precaution against ureteral injury is of questionable value. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Ureteral Injuries During Surgery

JAMA , Volume 199 (2) – Jan 9, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1967.03120020076013
Publisher site
See Article on Publisher Site

Abstract

Ureteral injuries during the course of surgical procedures within the pelvis occur more frequently than presumed. A series of 87 patients with ureteral injuries is reviewed from the standpoint of pathogenesis, diagnosis, treatment, end results, and prophylaxis. The ideal time for the repair of the injured ureter is at the time of operation or early in the period of convalescence. The procedure of choice is end-to-end anastomosis of the severed spatulated ends of the ureter. When this cannot be accomplished, reimplantation of the ureter into the bladder is recommended. Ligation of the proximal severed end of the ureter is rarely indicated, as a surgical procedure is now available that usually spares the kidney. Preoperative insertion of ureteral catheters as a precaution against ureteral injury is of questionable value.

Journal

JAMAAmerican Medical Association

Published: Jan 9, 1967

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