Bir Olgu Eşliğinde İyatrojenik Üreter Yaralanmaları Güncel Tanı ve Tedavi Yöntemleri

The ureters are rarely exposed to trauma. Ureteral injuries are generally in the form of iatrogenic, blunt injuries, and rarely penetrating injuries. Iatrogenic injuries often occur during surgical procedures. They do not present with specific findings and symptoms, therefore, they have lateonset symptoms. Imaging modalities of choice are usually intravenous pyelography and computed tomography. Treatment is tailored to the location of the trauma.

Özet

Üreterler nadiren travmaya maruz kalırlar. Üreter yaralanmaları iyatrojenik, künt travmalar ve nadiren penetran yaralanma şeklindedir. İyatrojenik yaralanmalar genellikle cerrahi işlemler ile birlikte olur. Üreter yaralanmalarının spesifik bulgu ve semptomları yoktur. Bu nedenle geç belirti vermektedir. Görüntüleme yöntemi olarak sıklıkla intravenöz pyelografi ve bilgisayarlı tomografiden yararlanılır. Tedavi, travmanın lokalizasyonuna göre belirlenir.

🔖

Cite This Article

ERGANİ, B., TÜRK, H., İŞOĞLU, C. S., KARABIÇAK, M., ZORLU, F. (2016). Bir Olgu Eşliğinde İyatrojenik Üreter Yaralanmaları Güncel Tanı ve Tedavi Yöntemleri. Journal of Urological Surgery, Cilt: 3 - Sayı: 3, 95–97. https://ajindex.com/articles/209970

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (12)

Presti JC Jr, Carroll PR, McAninch JW. Ureteral and renal pelvic injuries from external trauma: diagnosis and management. J Trauma 1989;29:370-374.
Siram SM, Gerald SZ, Greene WR, Hughes K, Oyetunji TA, Chrouser K, Cornwell EE 3rd, Chang DC. Ureteral trauma: patterns and mechanisms of injury of an uncommon condition. Am J Surg 2010;199:566-570. Guidelines on Urological Trauma. European Association of Urology Guidelines. 2012.
Selzman AA, Spirnak JP. Iatrogenic ureteral injuries: a 20-year experience in treating 165 injuries. J Urol 1996;155:878-881.
De Cicco C. Ret Davalos ML, Van Cleynenbreugel B, Verguts J, Koninckx PR. Iatrogenic ureteral lesions and repair: a review for gynecologists. J Minim Invasive Gynecol 2007;14:428-435.
Delacroix SE, Winters JC. Urinary Tract Injures: Recognition and Management. Clin Colon Rectal Surg 2010;23:104-112.
Mischianu D, Bratu O, Ilie C, Madan V. Notes concerning the peritonitis of urinary aetiology. J Med Life 2008;1:66-71.
Titton RL, Gervais DA, Hahn PF, Harisinghani MG, Arellano RS, Mueller PR. Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 2003;23:1133-1147.
Minas V, Gul N, Aust T, Doyle M, Rowlands D. Urinary tract injuries in laparoscopic gynaecological surgery; prevention, recognition and management. TOG 2014;16:19-28. Ureteral Trauma Treatment & Management Richard A Santucci, MD, FACS; Chief Editor: Schwartz BF. Updated: 2012 medscape. Shirk GJ, Johns A, Redwine DB. Complications of laparoscopic surgery: How to avoid them and how to repair them. J Minim Invasive Gynecol. 2006;13:352-359; quiz 360-361.
Cholkeri-Singh A, Narepalem N, Miller CE. Laparoscopic ureteral injury and repair: case reviews and clinical update. J Minim Invasive Gynecol 2007;14:356-361.
Simmons MN, Gill IS, Fergany AF, Kaouk JH, Desai MM. Technical modifications to laparoscopic Boari flap. Urology 2007;69:175-180.
Pais VM, Strandhoy JW, Assimos DG. Upper urinary tract obstruction and trauma. In: Wein AJ (Eds) Campbell-Walsh Urology, 9th, Elsevier, Philadelphia 2007. p1169. Verduyckt FJ, Heesakkers JP, Debruyne FM. Long-term results of ileum interposition for ureteral obstruction. Eur Urol 2002;42:181-187. McAninch Jack W. Injuries to the Genitourinary Tract, Injuries to the Ureter. Smith's General Urology, 17th Edition. 2008.
Brandes S, Coburn M, Armenakas N, McAninch J. Diagnosis and management of ureteric injury: an evidence based analysis. BJU Int 2004;94:277-289.