12/26/2021
For patients with gynecologic malignancies, the most common complications of laparoscopic surgery include bowel injuries and genitourinary injuries.
The bladder remains the most common site of injury, with respect to gynecologic surgery. Injury to the bladder and/or ureter during laparoscopic surgery has previously been a rare event.
However, as laparoscopy has expanded to include more complicated procedures, injuries involving the genitourinary system have also increased.
Studies have revealed an incidence of bladder injury during laparoscopy between 0.02% and 8.3%. The most common laparoscopic procedure associated with bladder injury is laparoscopic-assisted vaginal hysterectomy and most frequently occurs while conducting sharp, electrosurgical dissection.
However, injuries have been reported with laparoscopic scissors, and trocars. Just as with injuries to the bladder, ureteral injuries have been most associated with laparoscopically assisted vaginal hysterectomy, but have also been reported during oophorectomy, pelvic lymphadenectomy, sterilization, and excision of endometriosis.
Laparoscopy affords a safe and less invasive modality for both diagnostic and major operative procedures. However, an appreciation of its potential complications is vital to patient care.
View the full study here https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760890/
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