Ureteral injury secondary to laparoscopic CO2 laser

Y N Bakri, Younes N. Bakri, Torsten Sundin, T Sundin, M Mansi, Mostafa K. Mansi
Acta obstetricia et gynecologica Scandinavica · 1994 · vol. 73(8) , pp. 665–667 · doi:10.3109/00016349409013464 · PMID:7941995 · W2117553032
article OA: closed CC0 ⤵ 2 in-corpus citations
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This case report details a ureteral injury and urinoma complication during laparoscopic CO2 laser treatment for endometriosis, highlighting that hydrodissection may fail with severe adhesions.

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Abstract

A case of a 32-year-old nulligravida who underwent a carbon dioxide laser-laparoscopy for endometriosis is reported. Ureteral injury was complicated by a postoperative 'urinoma'. Injury occurred despite utilizing the hydrodissection technique destined to create a bed of water beneath the peritoneum to prevent laser beam penetration to adjacent normal tissue. This case illustrates that the hydrodissection technique may be less effective in the presence of severe endometriotic adhesions and fibrosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laser Therapy Ureter Adult Anastomosis, Surgical Carbon Dioxide Endometriosis Female Humans Laparoscopy Laparoscopy Laser Therapy Postoperative Complications Postoperative Complications Pregnancy Ureter Ureter Urography

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Cites (3)

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References (11)

Cited by (2)

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License: CC0 · commercial use OK