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uretic injury

 
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Abik
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Joined: 15 Jan 2007
Posts: 243
Location: Poole

PostPosted: Wed Jan 17, 2007 3:08 pm    Post subject: uretic injury Reply with quote

At laparoscopy, the ureter is most likely to be damaged lateral to the uterine artery? T?F
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wolverine
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Joined: 16 Jan 2007
Posts: 394

PostPosted: Wed Jan 17, 2007 3:55 pm    Post subject: Reply with quote

I think it's true. I've seen the answer in the StratOG but I haven't got access now to confirm it as I'm in the hospital, working hard. I think ureteric injury in laparoscopy happens most commonly during LAVH when uterine artery is ligated laparoscopically and the damage is at the level of the uterine artery.
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EMAK
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Joined: 26 Nov 2006
Posts: 572

PostPosted: Wed Jan 17, 2007 4:12 pm    Post subject: Reply with quote

I think it is false.
the site of ureteric injury are:
1-at pelvic brim when it enter the pelvis====during devision of infundibulopelvic lig.
2-Ovarian fossa===during oopherectomy
3-below uterine artery===during uterine art . ligation
4-1-2 cm lateral to vaginal fornix ===during cutting cardinal ligament
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Abik
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Joined: 15 Jan 2007
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Location: Poole

PostPosted: Wed Jan 17, 2007 5:01 pm    Post subject: Reply with quote

it's from onexamination and they say false. I find it hard to imagine that the most common place during laparoscopy is right under the uterines - what are you doing down there??!!!
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EMAK
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Joined: 26 Nov 2006
Posts: 572

PostPosted: Wed Jan 17, 2007 5:21 pm    Post subject: Reply with quote

Hi Abik,
you didn't hear before about [Water under bridge]
you will not forget that ureter pass below uterine pedicle.
Regards.
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