DOUBLE J STENTING IN A DELAYED URETER INJURY DUE TO THERMAL NECROSIS FOLLOWING LAPAROSCOPIC-ASSISTED VAGINAL HYSTERECTOMY

The presenting symptom to a gynecologist for postoperative vaginal discharge, which may or may not be related to the gynecologic diagnosis. A 40-year-old woman with abnormal uterine bleeding came to ObGyn Opd. The diagnosis was simple endometrial hyperplasia for which laparoscopic assisted vaginal hysterectomy with bilateral salphingo oophorectomy was done. Post-Operative Day 18 patient developed vaginal discharge suggestive of urinary leakage. The postoperative delayed ureter injury is an unusual association with laparoscopic assisted vaginal hysterectomy. The management was ureter stent insertion. This case report could be guidance to surgeons about the postoperative management of ureter injury. Gynecologists should consider the presenting symptom of vaginal discharge in formulating their differential diagnosis.

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Conservative treatment with ureter stent in a delayed ureter injury due to thermal necrosis

Journal of Endometriosis and Pelvic Pain Disorders ◽

10.1177/2284026518788765 ◽

2018 ◽

Vol 10 (3) ◽

pp. 131-132

Author(s):

Usanee Chatchotikawong ◽

Phornsawan Wasinghon ◽

Kuan-Gen Huang ◽

Aranya Yantapant

Keyword(s):

Vaginal Discharge ◽

Stent Insertion ◽

Deep Infiltrating Endometriosis ◽

Thermal Necrosis ◽

Ureter Injury ◽

Deep Endometriosis ◽

Diagnostic Bias ◽

Unusual Association ◽

Pouch Of Douglas ◽

Endometriosis Surgery

The presenting symptom to a gynecologist for postoperative vaginal discharge, which may or may not be related to the gynecologic diagnosis. The postoperative delayed ureter injury is an unusual association with deep endometriosis surgery. Thermal necrosis can delay the ureter injury. The principle of diagnostic bias and educate gynecologists on the topic of delayed ureter injury state that delayed ureter injury due to thermal necrosis. A 45-year-old woman with menorrhagia and mild dysmenorrhea. The diagnosis was adenomyosis, a right endometrioma and deep infiltrating endometriosis (DIE) affecting the Pouch of Douglas. The management was ureter stent insertion lead to postoperative delayed ureter injury. The occurrence could be guidance to surgeons about the duration of postoperative detection for delayed ureter injury. Gynecologists should consider the presenting symptom of vaginal discharge is formulating their differential diagnosis.

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Laparoscopic-assisted vaginal hysterectomy and abnormal uterine bleeding

Modern Management of Abnormal Uterine Bleeding ◽

10.3109/9780203091524-45 ◽

2008 ◽

pp. 326-337 ◽

Cited By ~ 2

Keyword(s):

Vaginal Hysterectomy ◽

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Laparoscopic Assisted Vaginal Hysterectomy ◽

Laparoscopic Assisted

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Faculty Opinions recommendation of [comparison of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy for benign diseases and lesions of the female genital system].

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.727843303.793534986 ◽

2017 ◽

Author(s):

Mauricio Simões Abrao

Keyword(s):

Vaginal Hysterectomy ◽

Genital System ◽

Benign Diseases ◽

Laparoscopic Assisted Vaginal Hysterectomy ◽

Female Genital System ◽

Laparoscopic Assisted ◽

Female Genital

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Vaginal herniation after secondary laparoscopic assisted vaginal hysterectomy following primary radiochemotherapy for stage IIIA cervical cancer

Radiotherapy and Oncology ◽

10.1016/j.radonc.2007.12.026 ◽

2008 ◽

Vol 88 (2) ◽

pp. 285-286

Author(s):

Markus Vogt ◽

Christhardt Köhler ◽

Simone Marnitz ◽

Chie Hee Cho ◽

Malgorzata Lanowska ◽

...

Keyword(s):

Cervical Cancer ◽

Vaginal Hysterectomy ◽

Stage Iiia ◽

Laparoscopic Assisted Vaginal Hysterectomy ◽

Laparoscopic Assisted

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Vaginal cuff recurrence of endometrial cancer treated by laparoscopic-assisted vaginal hysterectomy

Gynecologic Oncology ◽

10.1016/j.ygyno.2003.12.014 ◽

2004 ◽

Vol 92 (3) ◽

pp. 1015-1016 ◽

Cited By ~ 11

Author(s):

Cathrine M. Holland ◽

John A. Latimer ◽

Robin A.F. Crawford

Keyword(s):

Endometrial Cancer ◽

Vaginal Hysterectomy ◽

Vaginal Cuff ◽

Laparoscopic Assisted Vaginal Hysterectomy ◽

Laparoscopic Assisted

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Pelviscopic Compared to Laparotomic and Vaginal Intrafascial Hysterectomy

Diagnostic and Therapeutic Endoscopy ◽

10.1155/dte.3.231 ◽

1997 ◽

Vol 3 (4) ◽

pp. 231-239

Author(s):

L. Mettler ◽

N. Lutzewitsch

Keyword(s):

Vaginal Hysterectomy ◽

Operating Time ◽

Surgical Techniques ◽

Abdominal Hysterectomy ◽

Supracervical Hysterectomy ◽

Laparoscopic Assisted Vaginal Hysterectomy ◽

Indications For Operation ◽

Laparoscopic Assisted ◽

Benign Disorders ◽

The University

Between 1993 and 1994, 368 women underwent hysterectomies for benign disorders at the University of Kiel. Of these, 58.7% were performed either by pelviscopic or by laparotomy Classic Intrafascial Supracervical Hysterectomy (CISH). Of the remaining, 14.8% were performed by abdominal hysterectomy, 13.6% by Intrafascial Vaginal Hysterectomy (IVH), 12.2% by Vaginal Hysterectomy (VH), and only 0.05% by Laparoscopic Assisted Vaginal Hysterectomy (LAVH). Comparative data of these six surgical techniques concerning patients characteristics, indications for operation, histological features, blood loss, operating time, hospital stay, uterine weights and postoperatively used analgesics are described.

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