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Table 4 Details of the two cases with ureteric injury

From: Can centralised care of complex laparoscopic procedures prevent urinary tract injuries?

  Ureteric injury cases
Case 1 Case 2
Surgeon Senior Senior
Procedure LADVH, LSO TLH, RSO, RLEE stage IV
Risk factors Fibroid, 9-cm ovarian fibroma Stage IV endometriosis
Diagnosis Intraoperative; suspected at check cystoscopy Intraoperative: transected, ?? blood vessel
Side Left Right
Type Perforation thru and thru/locking 50% transaction
Site Distal ureter close to left vaginal vault Close to right uterine artery, thick nodular endometriosis
Instrument Vaginal vault stitch Bipolar diathermy, scissors
Urology input Yes (intraoperative) Yes (intraoperative)
Mode of repair Retrograde ureterogram, left JJ stent, vaginal vault stitch release Right JJ ureteric stent, full thickness repair of ureter, excision, tension-free reanastomosis
Route of repair Vaginal Laparoscopic
Follow-up 8 weeks 10 days, 8 weeks, 6 months, 12 months
Investigations/sequelae Cystoscopy, stent removal, left retrograde ureterogram/none IVU, stent removal, renogram/none