Laparoscopic management of a ureteral lesions in Schauta-Stoeckel radical vaginal hysterectomy
Kamprath, S.; Janitzky, V.; Nöschel, H.; Schneider, A.
Zentralblatt für Gynakologie 118(7): 414-416
1996
ISSN/ISBN: 0044-4197 PMID: 8766105 Document Number: 466592
We report on the laparoscopic repair of an ureteral injury during radical vaginal hysterectomy according to Schauta-Stoeckel combined with laparoscopic paraaortic and pelvic lymphadenectomy. A 0.5 cm long oval incision of the left ureter 4 cm from the bladder was noticed during laparoscopic inspection at the final stage of the operation. The injury was repaired through a transvesical ureteral stent under laparoscopic guidance with laparoscopic intracorporeal suturing. On postoperative day 10 the ureteral stent was removed. An intravenous urogram taken 4 weeks after the operation showed normal conditions. Therefore primary laparoscopic repair of an ureteral injury is possible and effective.