Utility and Length of Ureteral Ejection of Sodium Fluorescein for the Cystoscopic Assessment of the Ureteric Patency in Patients Undergoing to Total Laparoscopic Hysterectomy
Study Objective: To determine the usefulness and length of ureteral ejection of sodium fluorescein in patients undergoing cystoscopic assessment of the ureteric patency after total laparoscopic hysterectomy.
Evaluate the detection of ureteral injuries with the use of laparoscopic lens of 5 mm and 30 ° for cystoscopy after total laparoscopic hysterectomy.
To demonstrate an alternative method to evaluate for ureteral patency following benign hysterectomy.
Publication date: Available online 4 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Alexandra Melnyk, Noah B. Rindos, Samar R. El Khoudary, Ted LeeAbstractStudy objectiveTo determine if intraoperative outcomes for patients undergoing a laparoscopic hysterectomy with endometriosis and an obliterated cul-de-sac are different than patients with endometriosis and no obliteration of the cul-de-sac.DesignRetrospective cohort study.SettingAcademic tertiary-care hospital.PatientsPatients undergoing total laparoscopic hysterectomy with endometriosis between 2012 and 2016.InterventionsTotal laparoscopic hysterec...
Conclusion: Our study suggests that sodium fluorescein is an effective dye for documenting ureteral patency and improving visualization of ureteral jets during cystoscopy upon completion of laparoscopic hysterectomy. PMID: 30356883 [PubMed - in process]
ConclusionsLaparoscopy can be a wise alternative option to manage ureteral obstruction secondary to vaginal colposuspension for genital organ prolapse.
Publication date: Available online 27 August 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Marco Aurelio Pinho Oliveira, Thiers Soares Raymundo, Thiago Rodrigues Dantas Pereira, Felipe Vaz de Lima, Diogo Eugenio Abreu da SilvaABSTRACTGynecological surgeries are associated with various perioperative complications, especially urinary tract injuries. Intraoperative cystoscopy plays an important role in allowing the bladder to be assessed to ensure there are no injuries. The verification of the urinary jet from the ureters is a fundamental step but is not always easy to accomplish. Dyes are frequently used but...
Fifty percent Dextrose solution (D50) can be used to evaluate ureteral patency at time of laparoscopic hysterectomy. A previously published study found an increased risk of urinary tract infection (UTI) after cystoscopy with 10% dextrose solution following pelvic reconstruction or anti-incontinence surgery. The purpose of this study was to compare the rate of UTI and lower urinary tract (LUT) injury detection in different population –younger women who have undergone intraoperative cystoscopy with 50% dextrose solution or normal saline (NS) immediately following benign laparoscopic hysterectomy.
We present a case of accidental ureteral section during a deep endometriosis surgery. After hysterectomy a primary laparoscopic pyeloplasty was performed with cystoscopical assistance.
Conclusion With adequate laparoscopic experience and patient counseling, complex genitourinary fistulas can be approached with minimally invasive techniques. Laparoscopic approach provides excellent exposure to a poorly exposed area of retrovesical space while minimizes the bladder manipulation.
ConclusionsRobot-assisted extravesical VVF repair avoids the morbidity of a laparotomy, provides excellent exposure, and avoids a large cystotomy. It maintains vaginal length and allows for significantly better visualization compared with the transvaginal approach. This repair offers improved outcomes for certain patients depending on their history, anatomy, and the surgeon ’s experience.