Judgment and Prevention of Urinary Tract Injury in Gynecological Surgery Based on Data Mining

In this paper, a data mining-enabled model is developed to analyze the case-related data of 39 patients with urinary tract injury who underwent laparoscopic surgery in a certain hospital from 2012 to 2017. Statistics on the history and characteristics of the case data summarized and analyzed the causes of urinary tract injury and the urinary system. The relationship between the occurrence of injury and the type of surgery and the treatment and preventive measures taken for urinary tract injury during and after surgery are summarized. The statistical method with SPSS16.0 statistical software was used to analyze the data of this study, and the X2 test was used to compare the rates. The differences of P ≤ 0.05 and P ≤ 0.01 were statistically significant. Laparoscopic surgery in gynecology is a minimally invasive technique, but it is still accompanied by the possibility of complications. During the experimental setup and implementation, we have observed that among 8742 cases of laparoscopic surgery complicated by urinary tract injury, there were 39 cases with a rate of 0.45%. In the past five years, the incidence of urinary tract injury in gynecological surgery in our country has increased year by year, and the number of cases of urinary tract injury has also increased year by year. Through analysis, it is found that the cause of the injury is related to the level of surgery, pelvic adhesion, and energy equipment. Based on the above problems, according to the clinical data of patients with urinary tract injury complicated by gynecological surgery in the hospital, the relevant factors of gynecological surgery complicated by urinary tract injury are analyzed to improve the awareness of urinary tract protection and prevention of injury during the operation and preventive measures are actively taken to avoid medical treatment.

Urological complications in obstetrics

Urinary tract injury is a rare but severe complication during abdominal delivery. Over the past quarter of the last century, the frequency of abdominal delivery in Russia has more than tripled due to the increase in the number of pregnant women at high risk for the development of maternal and perinatal complications. Intraoperative diagnosis of urinary tract injuries allows timely treatment with better postoperative outcomes. Given the high percentage of caesarean sections in many countries, the risk of the above complications remains high. Risk factors for urinary tract injury during cesarean section are an increase in womens average age and body mass index, high parity, the presence of adhesions, prior cesarean section, emergency cesarean section, and cesarean section in the second stage of labor. This article discusses several clinical cases on the development of urological complications in obstetrics and gynecology. Due to modern progress in the field of operative obstetrics, vesicouterine fistulas caused by obstetric causes may not occur as often as in the last century. Nevertheless, even despite this, one should not forget about elementary preventive measures in operative delivery, especially in such obstetric situations as placental ingrowth, bleeding, hematoma, and parametria.

The urological complications of vaginal birth after cesarean (VBAC) – a literature review

The appearance of urological complications is a major problem in obstetrics and gynecologic surgery; the bladder is the most common damaged organ. Due to a continuous increase in the rate of cesareans, the incidence of urologic complications will be potentially higher. We reviewed the most important risk factors for urinary tract injury and analyzed the strategies necessary to avoid these situations during vaginal birth after cesarean (VBAC). The risks and benefits of VBAC should be balanced before deciding the mode of delivery.

Wireless cystoscope the future of cystoscopy

Cystoscopy during a hysterectomy may decrease the rate of lower urinary tract injury. Our department has developed a new wireless endoscopic setup that couples a rigid 30 degree , 4-mm cystoscope with a wireless camera modified with a special adapter. We used a portable and rechargeable light source. Two cases performed with the new setup are presented in the videos. This report presents the use of a wireless, low-cost and portable camera throughout the course of cystoscopy and the results are promising. The new technique is feasible and easy reproducible and could contribute to making cystoscopy during gynecologic surgery cost-effective.

Wireless cystoscope the future of cystoscopy

Cystoscopy during a hysterectomy may decrease the rate of lower urinary tract injury. Our department has developed a new wireless endoscopic setup that couples a rigid 30 degree , 4-mm cystoscope with a wireless camera modified with a special adapter. We used a portable and rechargeable light source. Two cases performed with the new setup are presented in the videos. This report presents the use of a wireless, low-cost and portable camera throughout the course of cystoscopy and the results are promising. The new technique is feasible and easy reproducible and could contribute to making cystoscopy during gynecologic surgery cost-effective.