Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Similars in SciELO
Share
Acta Obstétrica e Ginecológica Portuguesa
Print version ISSN 1646-5830
Abstract
COSTA, Joana Raquel and COSTA, Antónia. Type and surgical approach in hysterectomy and lesions to the urinary tract. Acta Obstet Ginecol Port [online]. 2017, vol.11, n.1, pp.46-56. ISSN 1646-5830.
Hysterectomy is the second most frequently performed gynecological surgery. It is therefore relevant to perform an assessment of factors associated with urological surgical morbidity. Hysterectomy is associated with injuries to the ureter (0-3.97%) and bladder (0-2.8%). The incidence of urologic complications has been declining, as well as the difference between surgical approaches. There are some studies that demonstrate an increased risk of urologic injuries with laparoscopic and radical hysterectomy. Controversy remains on which are the real benefits of subtotal hysterectomy. No differences were found between intrafascial and extrafascial techniques. Concomitant salpingophorectomy doesn't lead to a greater risk of injuries.
Keywords : Hysterectomy; Urinary tract injury; Urologic morbidity.