Section urétérale au cours d’un traumatisme pénétrant de l’abdomen: à propos d’un cas et revue de la littérature

ConclusionsLes lésions urétérales post-traumatiques non diagnostiquées à temps sont corrélées à une morbidité et une mortalité élevée. Un index de suspicion élevé permettrait un diagnostic rapide et une prise en charge à temps.AbstractIntroductionUreteral sections in penetrating trauma of the abdomen are rare.ObservationWe report a case of a young patient admitted for penetrating abdominal trauma following a wound by a sharp object, admitted to the surgical emergency department at CHU Ibn Ruchd Casablanca, with hemodynamic instability and evisceration. Intraoperative abdominal exploration noted a complete ureteral section with a partial jejunal section without major vascular injury. Adequate haemostasis has been achieved; uretero-ureteral anastomosis with a double J stent was performed to treat the ureteral section, and jejunal wound was sutured with absorbable suture with feeding jejunostomy. The postoperative course was uneventful.ConclusionPosttraumatic ureteral injuries undiagnosed in time are correlated with a high morbidity and mortality. A high index of suspicion allows rapid diagnosis and care in time.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

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ConclusionsRobotic excision of urological endometriosis represents a safe and effective treatment option, since a limited rate of surgical complications was recorded even in cases of multi-organ disease.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
We report our experience on nine cases that were completed prior to our French UTx robot-assisted trial.
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
We report a case of a 48-year-old Caucasian woman who was treated at the University General Hospital of Alicante. She consulted because of progressive abdominal pain over the last seven months, with the initial diagnosis of renal-ureteral colic. Ultrasound and computed tomography of the abdomen and pelvis revealed a 25x15 cm, well-defined cystic lesion with papillary projections, centrally located in the abdomen. The radiology report suggested a primary ovarian tumor versus peritoneal implant as the first option. The patient underwent an exploratory laparotomy showing a large cystic mass located in the urinary bladder peri...
Source: Gynecologic Oncology Reports - Category: OBGYN Source Type: research
The objectives of our study were to (1) examine the rate of vesicoureteral injury on benign hysterectomy by the surgical approach and (2) compare the risk of vesicoureteral injury specifically between minimally invasive laparoscopic and abdominal hysterectomy on a populational level.DesignRetrospective population-based observational study.SettingThe National Inpatient Sample.PatientsA total of 501 110 women who had undergone hysterectomy for benign gynecologic disease between January 2012 and September 2015 were included as follows: total abdominal hysterectomy (TAH, n = 284 365 [56.7%]), total laparos...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
The objectives of our study were to (i) examine the rate of vesico-ureteral injury at benign hysterectomy by surgical approach and (ii) compare the risk of vesico-ureteral injury specifically between minimally-invasive laparoscopic and abdominal hysterectomy on a populational level.DesignRetrospective population-based observational study.SettingThe National Inpatient Sample.Patients501,110 women who underwent hysterectomy for benign gynecological disease from 1/2012-9/2015 were included: total abdominal hysterectomy (TAH, n=284,365 [56.7%]), total laparoscopic hysterectomy (TLH, n=60,410, [12.1%]), abdominal supracerv...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 2:  Basic Science/Research/Education (1:40 PM – 1:50 PM) 1:40 PM: STATION D Source Type: research
We examined the impact of surgical approach (minimally-invasive laparoscopy versus laparotomy) on vesico-ureteral injury during inpatient hysterectomy for benign gynecological disease.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 14: Laparoscopy (4:10 PM – 5:15 PM) 4:38 PM Source Type: research
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Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
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