Volume 2, Issue 8 (Autumn 1999)
J Arak Uni Med Sci 1999, 2(8): 32-35 |
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Mohammad Tabar Z. Examination of Prevalence of Various Kinds of Known Injuries to Ureter and Baldder among Gynecologic Surgeries in Azzahra Hospital (Rasht). J Arak Uni Med Sci 1999; 2 (8) :32-35
URL: http://jams.arakmu.ac.ir/article-1-6593-en.html
URL: http://jams.arakmu.ac.ir/article-1-6593-en.html
School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Abstract: (1870 Views)
Injuries to the ureter and bladder is one of the most complications in obstetrical and gynecological surgery. Injury to this organs are unavoidable even for the most experienced gynecologic surgeons. According to this study 45 cases of injuries to ureter and bladder have been observed. The incidence of injury to bladder was 82.3% and of ureter was 17.7% repeated cesarean section (31%) first cesarean section (15%) abdominal hysterectomy (15.5%) and vagina operation(7%). Bladder dome were more common than the bladder base (injuries of 85% cases). Diagnosis of ureter injury have been done during operation and in the reminder diagnosis have been delayed. Injuries were during abdominal operation, while less injuries were seen during vaginal operation. Pelvic adhesions due to repeated cesareans section & markedly enlarging uterus at the time of abdominal hysterectomy were most important risk factors for injury to the bladder and ureters.
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