Characteristics of Ureteral Trauma Following Gynaecological Procedures
Christian Ronald Tanggo *
Department of Surgery, Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia.
*Author to whom correspondence should be addressed.
Abstract
Aims: To find out the incidence of ureteral trauma at Hasan Sadikin Hospital in Bandung with the causes and actions taken
Study Design: This research is a cross-sectional study.
Place and Duration of Study: The research was conducted at Hasan Sadikin Hospital Bandung, West Java. The research was conducted for 18 months, from January 2011 to July 2012.
Methodology: This research is descriptive research with a cross-sectional approach. The population in the study were all ureteral trauma sufferers who were diagnosed after experiencing external trauma or were discovered intraoperatively or postoperatively (delayed). The sample in this study was taken using a total sampling technique, where all population members were sampled provided they met predetermined criteria. The number of samples in this study was 15 people. From January 2011 to July 2012, 15 cases of ureteral injuries were recorded. All the patients were women whose ages were between 39 to 56 years
Results: Of the 15 cases In 14 (93,33%) of them, the injury was caused during gynecologic surgery. Only 1 case (6,66%) was reported due to external trauma. There was no case of ureteral injury caused by urologic or general surgery procedures. Nephrectomy procedures had been performed in 2 cases (13,33%), whereas the other procedures were ureteroureterostomy in 9 cases (60%), ureteroneosistostomy in 1 case (6,66%) and primary suture in 3 cases (20%).
Conclusion: Ureteral trauma is very rare in HSGH, the most common etiology is due to iatrogenic injury after gynecologic procedures. The most common technique performed was ureteroureterostomy.
Keywords: Ureteral trauma, iatrogenic injury, ureterouretrostomy, uretero-neocystostomy, nephrectomy