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 | 8Â weeks | 10Â days, 8Â weeks, 6Â months, 12Â months |
Investigations/sequelae | Cystoscopy, stent removal, left retrograde ureterogram/none | IVU, stent removal, renogram/none |