Fayez T Hammad1, Khaled M AlQaiwani, Samir S Shirodkar. 1. Department of Surgery, Faculty of Medicine and Health Sciences, UAE University, P.O. Box 17666, Al Ain, United Arab Emirates. fayez@mail2doctor.com
Abstract
INTRODUCTION AND HYPOTHESIS: We investigated the role of urologists in the management of urological injuries (UI) during obstetric and gynaecological (Ob&Gyn) surgery in a setup where endourological facilities were available intraoperatively. METHODS: We retrospectively reviewed all such cases between January 2000 and December 2005. RESULTS: Out of 13,010 procedures, urologists were involved in 98 patients (prophylactic ureteric stenting (n = 29) and involvement after the occurrence or suspicion of UI (n = 69)). There were 43 injuries (bladder, n = 32; ureter, n = 11). Four bladder and 10 ureteric injuries were only identified using endourological procedures. The incidence of UI in caesarean sections (lower segment caesarean sections (LSCS)) was higher than other procedures (0.46% vs. 0.19%, P < 0.01). There was no difference in the incidence of injuries in emergency vs. elective LSCS (0.42% vs. 0.65%, P = 0.24). CONCLUSIONS: The availability of endourological facilities in the Ob&Gyn operating room facilitated the identification and management of UI especially ureteric injuries.
INTRODUCTION AND HYPOTHESIS: We investigated the role of urologists in the management of urological injuries (UI) during obstetric and gynaecological (Ob&Gyn) surgery in a setup where endourological facilities were available intraoperatively. METHODS: We retrospectively reviewed all such cases between January 2000 and December 2005. RESULTS: Out of 13,010 procedures, urologists were involved in 98 patients (prophylactic ureteric stenting (n = 29) and involvement after the occurrence or suspicion of UI (n = 69)). There were 43 injuries (bladder, n = 32; ureter, n = 11). Four bladder and 10 ureteric injuries were only identified using endourological procedures. The incidence of UI in caesarean sections (lower segment caesarean sections (LSCS)) was higher than other procedures (0.46% vs. 0.19%, P < 0.01). There was no difference in the incidence of injuries in emergency vs. elective LSCS (0.42% vs. 0.65%, P = 0.24). CONCLUSIONS: The availability of endourological facilities in the Ob&Gyn operating room facilitated the identification and management of UI especially ureteric injuries.
Authors: G V Soundra Pandyan; Ahmed B Zahrani; Abdul-Rehman Awon; Mohammed Al-Rashid; Mana Al-Assiri; Mohamed Dahnoun Journal: Saudi Med J Date: 2007-01 Impact factor: 1.484