Urinary tract injuries in laparoscopic gynaecological surgery; prevention, recognition and management

摘要: Key content Injury of the urinary tract is most common major complication gynaecological laparoscopic surgery. Injury to either bladder or ureter results in significant morbidity for patient and may lead litigation. Knowledge pelvic anatomy, training meticulous technique are paramount importance reducing incidence injury. Ideally an injury should be identified repaired during primary operation, but vigilance immediate postoperative period result early recognition intervention. Learning objectives To understand risk factors at laparoscopy. To learn strategies prevent where possible. To intraoperative repair such injuries. To significance multi-disciplinary management injuries. Ethical issues Limited evidence shows that hysterectomy carry a higher compared with abdominal hysterectomy. Should patients counselled accordingly?