Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy

Yıldız, Pınar; gundogdu, elif cansu; Cabus, Umit; Kurt, Didar; MAT, Emre; basol, gulfem; KALE, Ahmet; Kuru, Betul; SAKİN, Önder; YILDIZ, GAZİ

doi:10.14744/scie.2021.86094

Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy

Emre MAT, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Gazi YILDIZ, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Gülfem BAŞOL, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Didar KURT, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Betül KURU, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Elif Cansu GÜNDOĞDU, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Önder SAKİN, (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Ümit ÇABUŞ, (Pamukkale Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Denizli, Türkiye)

Pınar YILDIZ, (Adatıp Kurtköy Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Ahmet KALE (Sağlık Bilimleri Üniversitesi, İstanbul Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Southern Clinics of Istanbul Eurasia

2 0

Yıl: 2021 Cilt: 32 Sayı: 2 Sayfa Aralığı: 176 - 180 Metin Dili: İngilizce DOI: 10.14744/scie.2021.86094 İndeks Tarihi: 30-01-2022

Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy

Öz:

Objective: The rate of bladder injury during laparoscopic hysterectomy (LH) is three-fold higher than that of ureter injury and is an important problem for gynecologists. The aim of the present study was to present the results of laparoscopic repair of bladder injuries produced during LH procedure. Methods: Patients who underwent LH for benign indications between November 2018 and January 2020 were evaluated retrospectively. Medical records of all patients with bladder injury were reviewed and their causes of injury, incidence, treatment and follow-up were evaluated. Results: Eight patients were established to have bladder injury while undergoing LH. All bladder injuries were recognized during operation. Bladder injury occurred during laparoscopic sharp and blunt dissection of uterovesical area in seven patients and during suprapubic trochar insertion in one patient. All bladder injuries were repaired laparoscopically. No major complications were encountered during or after operation. Bladder catheters were removed 7–10 days after surgery. Conclusion: It was demonstrated that laparoscopic repair of bladder injury, which is a feared complication of LH, can be carried out successfully be gynecologists experienced in endoscopic surgery.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol 2007;110:1091– 5.
2. Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, et al. Inpatient hysterectomy surveillance in the United States, 2000–2004. Am J Obstet Gynecol 2008;198:34.e1–7.
3. Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol 2013;122:233–41.
4. Committee on Gynecologic Practice. Committee opinion No 701: Choosing the route of hysterectomy for benign disease. Obstet Gynecol 2017;129:e155–9.
5. Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2015;15:CD003677.
6. Chan JK, Morrow J, Manetta A. Prevention of ureteral injuries in gynecologic surgery. Am J Obstet Gynecol 2003;188:1273–7.
7. Teeluckdharry B, Gilmour D, Flowerdew G. Urinary tract injury at benign gynecologic surgery and the role of cystoscopy: A systematic review and meta-analysis. Obstet Gynecol 2015;126:1161–9.
8. Blackwell RH, Kirshenbaum EJ, Shah AS, Kuo PC, Gupta GN, Turk TM, et al. Complications of recognized and unrecognized iatrogenic ureteral injury at time of hysterectomy: A population based analysis. J Urol 2018;199:1540–5.
9. Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean J Urol 2012;53:795–9. 10. Wong JM, Bortoletto P, Tolentino J, Jung MJ, Milad MP. Urinary tract injury in gynecologic laparoscopy for benign indication: A systematic review. Obstet Gynecol 2018;131:100–8.
11. Manolitsas TP, McCartney AJ. Total laparoscopic hysterectomy in the management of endometrial carcinoma. J Am Assoc Gynecol Laparosc 2002;9:54–62.
12. Obermair A, Manolitsas TP, Leung Y, Hammond I, McCartney AJ. Total laparoscopic hysterectomy versus total abdominal hysterectomy for obese women with endometrial cancer. Int J Gynecol Cancer 2005;15:319–24.
13. Scribner DR, Walker JL, Johnson GA, McMeekin SD, Gold MA, Mannel RS. Surgical management of early-stage endometrial cancer in the elderly: İs laparoscopy feasible? Gynecol Oncol 2001;83:563– 8.
14. Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol 2014;6:115–24.
15. Vilos GA, Dow DJ, Allen HH. Litigation following ureteral injuries associated with gynaecological surgery. J SOGC 1999;21:31–45.
16. Smith RB, Ehrlich RM, Taneja SS. Complications of Urologicsurgery: Prevention and Management. Philadelphia, PA: WB Saunders; 2001.
17. Tunitsky E, Citil A, Ayaz R, Esin S, Knee A, Harmanli O. Does surgical volume influence short-term outcomes of laparoscopic hysterectomy? Am J Obstet Gynecol 2010;203:24.e1–6.
18. Gilmour DT, Dwyer PL, Carey MP. Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol 1999;94:883–9.
19. Findley AD, Solnik MJ. Prevention and management of urologic injury during gynecologic laparoscopy. Curr Opin Obstet Gynecol 2016;28:323–8.
20. Parra RO. Laparoscopic repair of intraperitoneal bladder perforation. J Urol 1994;151:1003–5.
21. Dassel MW, Adelman MR, Sharp HT. Recognition and management of urologic injuries with laparoscopic hysterectomy. Clin Obstet Gynecol 2015;58:805–11.
22. Wallenstein MR, Ananth CV, Kim JH, Burke WM, Hershman DL, Lewin SN, et al. Effect of surgical volume on outcomes for laparoscopic hysterectomy for benign indications. Obstet Gynecol 2012;119:709–16.
23. Boyd L, Novetsky A, Curtin J. Effect of surgical volume on route of hysterectomy and short-term morbidity. Obstet Gynecol 2010;116:909-15.
24. Donnez O, Jadoul P, Squifflet J, Donnez, J. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: Evaluation of complications compared with vaginal and abdominal procedures. BJOG 2009;116:492–500.
25. Léonard F, Fotso A, Borghese B, Chopin N, Foulot H, Chapron C, et al. Ureteral complications from laparoscopic hysterectomy indicated for benign uterine pathologies: A 13-year experience in a continuous series of 1300 patients. Hum Reprod 2007;22:2006–11.
26. Wong JM, Bortoletto P, Tolentino, Jung MJ, Milad MP. Urinary tract injury in gynecologic laparoscopy for benign indication: A systematic review. Obstet Gynecol 2018;131:100–8.
27. Georgy FM, Fetterman HH, Chefetz MD. Complication of laparoscopy: Two cases of perforated urinary bladder 1974;120:1121–2. 28. Homburg R, Segal T. Perforation of the urinary bladder by the laparoscope. Am J Obstet Gynecol 1978;130:597.
29. Poffenberger RJ. Laparoscopic repair of intraperitoneal bladder injury: A simple new technique. Urology 1996;47:248–9.
30. Wang L, Merkur H, Hardas G, Soo S, Lujic S. Laparoscopic hysterectomy in the presence of previous caesarean section: A review of one hundred forty-one cases in the Sydney West Advanced Pelvic Surgery Unit. J Minim İnvasive Gynecol 2010;17:186–91.
31. Tan-Kim J, Menefee SA, Reinsch CS, Bebchuk J, Kennedy JS, Whitcomb EL. Laparoscopic hysterectomy and urinary tract injury: experience in a health maintenance organization. J Minim İnvasive Gynecol 2015;22:1278–86.
32. Adelman MR, Bardsley TR, Sharp HT. Urinary tract injuries in laparoscopic hysterectomy: A systematic review. J Minim Invasive Gynecol 2014;21:558–66.
33. Kuno K, Menzin A, Kauder HH, Sion C, Gal D. Prophylactic ureteral catheterization in gynecologic surgery. Urology 1998;52:1004–8.
34. Chou MT, Wang CJ, Lien RC. Prophylactic ureteral catheterization in gynecologic surgery: A 12-year randomized trial in a community hospital. Int Urogynecol J 2009;20:689–93.
35. Wu MP, Lin YS, Chou CY. Major complications of operative gynecologic laparoscopy in southern Taiwan. J Am Assoc Gynecol Laparosc 2001;8:61–7.
36. Kreiker GL, Bertoldi A, Larcher JS, Orrico GR, Chapron C. Prospective evaluation of the learning curve of laparoscopic-assisted vaginal hysterectomy in auniversity hospital. J Am Assoc Gynecol Laparosc 2004;11:229–35.
37. Aydin C, Mercimek MN. Laparoscopic management of bladder injury during total laparoscopic hysterectomy. Int J Clin Pract 2020;74:e13507.

APA	MAT E, YILDIZ G, basol g, Kurt D, Kuru B, gundogdu e, SAKİN Ö, Cabus U, Yıldız P, KALE A (2021). Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. , 176 - 180. 10.14744/scie.2021.86094
Chicago	MAT Emre,YILDIZ GAZİ,basol gulfem,Kurt Didar,Kuru Betul,gundogdu elif cansu,SAKİN Önder,Cabus Umit,Yıldız Pınar,KALE Ahmet Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. (2021): 176 - 180. 10.14744/scie.2021.86094
MLA	MAT Emre,YILDIZ GAZİ,basol gulfem,Kurt Didar,Kuru Betul,gundogdu elif cansu,SAKİN Önder,Cabus Umit,Yıldız Pınar,KALE Ahmet Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. , 2021, ss.176 - 180. 10.14744/scie.2021.86094
AMA	MAT E,YILDIZ G,basol g,Kurt D,Kuru B,gundogdu e,SAKİN Ö,Cabus U,Yıldız P,KALE A Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. . 2021; 176 - 180. 10.14744/scie.2021.86094
Vancouver	MAT E,YILDIZ G,basol g,Kurt D,Kuru B,gundogdu e,SAKİN Ö,Cabus U,Yıldız P,KALE A Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. . 2021; 176 - 180. 10.14744/scie.2021.86094
IEEE	MAT E,YILDIZ G,basol g,Kurt D,Kuru B,gundogdu e,SAKİN Ö,Cabus U,Yıldız P,KALE A "Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy." , ss.176 - 180, 2021. 10.14744/scie.2021.86094
ISNAD	MAT, Emre vd. "Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy". (2021), 176-180. https://doi.org/10.14744/scie.2021.86094

APA	MAT E, YILDIZ G, basol g, Kurt D, Kuru B, gundogdu e, SAKİN Ö, Cabus U, Yıldız P, KALE A (2021). Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. Southern Clinics of Istanbul Eurasia, 32(2), 176 - 180. 10.14744/scie.2021.86094
Chicago	MAT Emre,YILDIZ GAZİ,basol gulfem,Kurt Didar,Kuru Betul,gundogdu elif cansu,SAKİN Önder,Cabus Umit,Yıldız Pınar,KALE Ahmet Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. Southern Clinics of Istanbul Eurasia 32, no.2 (2021): 176 - 180. 10.14744/scie.2021.86094
MLA	MAT Emre,YILDIZ GAZİ,basol gulfem,Kurt Didar,Kuru Betul,gundogdu elif cansu,SAKİN Önder,Cabus Umit,Yıldız Pınar,KALE Ahmet Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. Southern Clinics of Istanbul Eurasia, vol.32, no.2, 2021, ss.176 - 180. 10.14744/scie.2021.86094
AMA	MAT E,YILDIZ G,basol g,Kurt D,Kuru B,gundogdu e,SAKİN Ö,Cabus U,Yıldız P,KALE A Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. Southern Clinics of Istanbul Eurasia. 2021; 32(2): 176 - 180. 10.14744/scie.2021.86094
Vancouver	MAT E,YILDIZ G,basol g,Kurt D,Kuru B,gundogdu e,SAKİN Ö,Cabus U,Yıldız P,KALE A Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy. Southern Clinics of Istanbul Eurasia. 2021; 32(2): 176 - 180. 10.14744/scie.2021.86094
IEEE	MAT E,YILDIZ G,basol g,Kurt D,Kuru B,gundogdu e,SAKİN Ö,Cabus U,Yıldız P,KALE A "Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy." Southern Clinics of Istanbul Eurasia, 32, ss.176 - 180, 2021. 10.14744/scie.2021.86094
ISNAD	MAT, Emre vd. "Laparoscopic Management of Bladder Injury During Total Laparoscopic Hysterectomy". Southern Clinics of Istanbul Eurasia 32/2 (2021), 176-180. https://doi.org/10.14744/scie.2021.86094