Delayed diagnosis of ureteral injuries following gynecological laparoscopic surgery: three case reports and review.

PURPOSE OF INVESTIGATION: The clinical manifestations, causes, and methods for the treatment and prevention of ureteral injuries presenting late after gynecological laparoscopic surgeries were investigated.

MATERIALS AND

METHODS

The medical records of patients who experienced delayed recognition of ureteral injuries after gynecological laparoscopic surgeries in the present hospital between 2008 and 2012 were reviewed retrospectively.

RESULTS

There are three cases of ureteral injuries which are diagnose-delayed, The incidence of the malignant tumor groups was 0.99%, and for malignant patients undergoing laparoscopic lymphadenectomy it was 1.3%.

CONCLUSION

The main way to prevent delayed ureteral injuries is to avoid adhesion between the ureter and surrounding tissues as well as eliminate electrothermal trauma during laparoscopic operations. Surgical repair is effective for such patients.