Research of ureteral injury in gynecologic laparoscopies

Objective To investigate the ureteral injury in gynecological laparoscopies and discuss its diagnosis,treatment and prevention.Methods Six cases of ureteral injury were reviewed.The clinical features including the type of diseases,uterine size,pelvic adhesion and the methods of diagnosis,treatment were studied.Results Ureteral injuries happened during laparoscopically assisted vaginal hysterectomy(LAVH). The gynecological disorders included pelvic adhesions,endometriosis and leiomyoma in cervical.Patients presented flank pain,fever,increased volumes discharge.Conclusion Ureteral injury is an uncommon and sever complication in gynecological laparoscopies.Fever,flank pain and abnormal vaginal discharge should be paid attention to be ureteral injury.