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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 3, 2015, pp. 35-38
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Bioline Code: js14053
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 3, 2015, pp. 35-38
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Management of Ureteral Injuries due to Non-urologic Operations in Two Hospitals in Addis Ababa, Ethiopia
Andualem, D.
Abstract
Background: Ureteric injury is rare in obstetric and gynecological practice but, when it
occurs, it has serious implications in terms of both morbidity and litigation. The morbidity
arising from ureteric injury includes increased hospital stay, secondary invasive
interventions, reoperation, and potential loss of renal function and deterioration of the
woman's quality of life2.
Methods: This study was conducted in Tikur Anbessa specialized and Addis Hiwot General
Hospitals, Addis Ababa, Ethiopia from June 2013 to May 2014. All patients who were either
operated or referred to these hospitals with a diagnosis or a suspected diagnosis of ureteric
injury were identified and included in the study.
Results: Three patients sustained injuries during cesarean section while two of them during
hysterectomy and two others during colectomy and teratoma excision. Three were
transection injuries while three had ligation with complete closure and one of the injuries
was incomplete narrowing. All the transections were diagnosed intraoperatively where as
all the ligations were diagnosed late (> 7 days) post operatively.
Discussion: In our study all ligations are diagnosed postoperatively and all of were made
late (>7days). This show the operating surgeons should have a very high degree of
suspicion and should not take lightly any postoperative complaint of loin pain.
Ureteroneocystostomy is also a common surgical approach to treat distal ureteric injuries
and our result is very good like in several other studies.
Conclusion: Though ureteric injury is rare, it is a real tragedy when it occurs. In our study
all ligations are diagnosed postoperatively and all of were made late (>7days). This shows
the operating surgeons should have a very high degree of suspicion and should not take
lightly any postoperative complaint of loin pain.
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© Copyright 2014 - East and Central African Journal of Surgery
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