Laparoscopic management of iatrogenic lesions

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dc.contributor.authorDos Santos Abreu, Leonardo de Albuquerque [UNESP]
dc.contributor.authorTanaka, Milton
dc.contributor.authorde Abreu, Sidney Castro
dc.contributor.authorKawano, Paulo Roberto [UNESP]
dc.contributor.authorYamamoto, Hamilto Akihissa [UNESP]
dc.contributor.authorPereira Otsuka, Rodrigo Arthur [UNESP]
dc.contributor.authorTravassos, Marcelo Rosa [UNESP]
dc.contributor.authorAmaro, João Luiz [UNESP]
dc.contributor.authorFugita, Oscar Eduardo Hidetoshi [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionAndros Hosp Urol Brasilia
dc.date.accessioned2014-05-20T13:38:53Z
dc.date.available2014-05-20T13:38:53Z
dc.date.issued2008-06-01
dc.description.abstractPurpose: To present our series of patients who underwent laparoscopic correction of iatrogenic lesions and a review of the literature.Patients and Methods: We evaluated 23 patients who underwent laparoscopic correction of iatrogenic lesions. Thirteen patients had open surgery, 6 had an endoscopic procedure, and 4 had a laparoscopic approach as the first surgical procedure. Vesicovaginal fistulas (VVF) developed in seven patients after open abdominal hysterectomies, and 1 patient presented with a VVF after ureterolithotripsy. A urethral cutaneous fistula developed in one patient after a laparoscopic resection of endometriosis nodules, and 1 patient presented with a ureterovaginal fistula after a perineoplasty. Three patients presented with encrusted ureteral stents after ureterolithotripsy. Ureteral stenosis developed in seven patients: three after open abdominal surgery, three after ureteroscopy, and one after pyeloplasty. One patient had a ureteral injury during laparoscopic partial nephrectomy, and two patients had bowel injuries after a tension-free vaginal tape procedure and a laparoscopic radical prostatectomy.Results: All patients underwent laparoscopic correction of the iatrogenic injuries. One patient had an early recurrence of a VVF, and one patient had a recurrence of a ureteral stenosis. There was one conversion to open surgery because of technical difficulties and one major bleeding event that necessitated blood transfusion. A lower limb compartmental syndrome developed in one patient.Conclusion: Despite the small number of patients and different types of surgeries performed, laparoscopic management of iatrogenic lesions seems to be feasible and safe in experienced hands. Its precise role in the management of this stressful condition still needs to be determined.en
dc.description.affiliationUniv Estadual Paulista, Sch Med, Dept Urol, Botucatu, SP, Brazil
dc.description.affiliationAndros Hosp Urol Brasilia, Brasilia, DF, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Sch Med, Dept Urol, Botucatu, SP, Brazil
dc.format.extent1279-1283
dc.identifierhttp://dx.doi.org/10.1089/end.2008.0050
dc.identifier.citationJournal of Endourology. New Rochelle: Mary Ann Liebert Inc., v. 22, n. 6, p. 1279-1283, 2008.
dc.identifier.doi10.1089/end.2008.0050
dc.identifier.fileWOS000257772700028.pdf
dc.identifier.issn0892-7790
dc.identifier.lattes9989857854355692
dc.identifier.orcid0000-0001-8411-5822
dc.identifier.urihttp://hdl.handle.net/11449/13492
dc.identifier.wosWOS:000257772700028
dc.language.isoeng
dc.publisherMary Ann Liebert, Inc.
dc.relation.ispartofJournal of Endourology
dc.relation.ispartofjcr2.038
dc.relation.ispartofsjr1,088
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.titleLaparoscopic management of iatrogenic lesionsen
dc.typeArtigo
dcterms.licensehttp://www.liebertpub.com/reprints/journal-of-endourologybr--and-part-b-videourology/32/
dcterms.rightsHolderMary Ann Liebert Inc.
unesp.author.lattes9989857854355692[4]
unesp.author.orcid0000-0003-3745-0761[8]
unesp.author.orcid0000-0003-3134-2890[1]
unesp.author.orcid0000-0001-8411-5822[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Urologia - FMB