methylene blue ureteral injury

[Full Text]. [Medline]. Kim JH, Moore C, Jones JS, Rackley R, Daneshgari F, Goldman H, et al. Harkki-Siren P, Sjoberg J, Tiitinen A. Urinary tract injuries after hysterectomy. Mathews R, Marshall FF. [2,3,4] Our patient developed skin necrosis following extravasation of MB used for the identification of suspected iatrogenic ureteric injury. This website also contains material copyrighted by 3rd parties. The study was approved by the Health Research Authority (HRA), the East Midlands—Derby Research Ethics Committee (ref: 14/EM/1107) and Oxford University Hospitals research and development department. Extravasation of blue dye indicates ureteral discontinuity. Unlike renal ultrasonography and a retrograde ureteropyelography, IVU is used to assess for function of the ipsilateral kidney and the drainage of the ureter in a series of sagittal images. Background: Ureteral injury during laparoscopic surgery is rare, but when it occurs, it can be a serious problem. 2nd ed. The study was registered on clinicaltrials.gov … Al-Taher M, van den Bos J, Schols RM, et al. Hinman's Atlas of Urologic Surgery. All material on this website is protected by copyright, Copyright © 1994-2021 by WebMD LLC. Carlton CE, Scott R, Guthrie AG. [Medline]. Acta Radiol. Ureteral Injury During Gynecologic Surgery Q&A, Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynaecologists, Association of Military Osteopathic Physicians and Surgeons. [Medline]. 2014 Apr 21. This allows decompression of an enclosed and potentially infected space and helps to treat a urinary source of sepsis. 2014 Apr 21. Koo HP, Bloom DA. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. If ureteral injury is suspected postoperatively, laboratory tests, including a complete blood cell count (CBC) with manual differential and an electrolyte panel with blood urea nitrogen (BUN) and serum creatinine level, are needed to assess for possible infection and kidney dysfunction. Am J Obstet Gynecol. Urology. Management of ureteral injuries associated with vaginal surgery for pelvic organ prolapse. 3rd ed. 178(5):967-70. Obstet Gynecol. Psoas Hitch. Iatrogenic ureteral injury during colorectal surgery is a rare complication, with described rates between 0.15% and 1.9% (1,2). Saidi MH, Sadler RK, Vancaillie TG, et al. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. Choi YS, Lee SH, Cho HJ, Lee DH, Kim KS. Urological injuries in gynaecological practice--when is the optimal time for repair?. Hinman's Atlas of Urologic Surgery. Michel E Rivlin, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, Mississippi State Medical Association, Royal College of Surgeons of Edinburgh, Royal College of Obstetricians and GynaecologistsDisclosure: Nothing to disclose. [Medline]. 31 (S1):S101-S105. [Medline]. Management of ureteral injuries associated with vaginal surgery for pelvic organ prolapse. It is however associated with considerable mortality, morbidity and medico-legal issues. Saidi MH, Sadler RK, Vancaillie TG, et al. 2018 Sep. 29 (9):1397-1402. Konigsberg H, Blunt KJ, Muecke EC. URETERAL INJURY • These injuries occur most often during repair of hysterotomy extensions into the broad ligament or vagina. J Urol. Phiuladelphia PA: Saunders; 2012. Note the ureter's proximity at the pelvic brim to the infundibulopelvic ligament. for: Oasis Consumer Healthcare. [Medline]. 2nd ed. J Urol. Conversion from robotic surgery to laparotomy: a case-control study evaluating risk factors for conversion. Methylene blue is used for endoscopic evaluations of ureteral or pelvic injuries. Renal ultrasonography is perhaps the best noninvasive method to visualize the kidney and shows hydronephrosis with great sensitivity. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. [Medline]. Blackwell RH, Kirshenbaum EJ, Shah AS, et al. Anger JT. Teeluckdharry B, Gilmour D, Flowerdew G. Urinary Tract Injury at Benign Gynecologic Surgery and the Role of Cystoscopy: A Systematic Review and Meta-analysis. Management of iatrogenic ureteric injury with retrograde ureteric stenting: an analysis of factors affecting technical success and long-term outcome. This can be performed by directly injecting into the renal pelvis or by Adelman MR, Bardsley TR, Sharp HT. 4. • If ureteral injury is suspected, methylene blue is administered. Bradley Fields Schwartz, DO, FACS Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine Delayed recognition of lower urinary tract injuries following hysterectomy for benign indications: A NSQIP-based study. 727-30. If one is unsure whether a ureteral injury has occurred intraoperatively, intravenous administration of 10 mL of indigo carmine or methylene blue with 20 mg of furosemide may help to localize a ureteral injury. Alternatively, if the tampon absorbs a blue liquid, the diagnosis of vesicovaginal fistula can be made. A vaginal tampon is inserted. 2018 Jun. 1997 Jun. 199 (6):1540-1545. Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Association of Military Osteopathic Physicians and Surgeons, Endourological Society, Society of Laparoendoscopic Surgeons, Society of University UrologistsDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: AUA Journal of Urology
Serve(d) as a speaker or a member of a speakers bureau for: Cook Medical; Olympus, . 2015 Oct 28. Smith JA Jr, Howards SS, Preminger GM, Eds. Wolf JS Jr, Elashry OM, Clayman RV. Identifying Ureters 440933-overview Operative injuries to the ureter: prevention, recognition, and management. Notice the proximity of the ureter to the uterine vessels at the level of the cervix. [Medline]. 2014 Aug. 134(2):238-42.

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