Evaluation of the Morbidity of Routine Cystoscopy Performed Intraoperatively During Total Laparoscopic Hysterectomies.

IF 1.4 4区医学 Q3 SURGERY

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2021-07-01 DOI:10.4293/JSLS.2021.00060

Mélissa Roy, Anne-Sophie Roy, Ian Brochu, Émilie Gorak-Savard, Émilie Hudon, Catherine Tremblay, Chantal Rivard

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引用次数: 0

Abstract

Study objectives: The primary objective is to determine the rate of morbid events (urinary tract infection, hematuria, urinary retention, false positive, incidental finding) associated with routine cystoscopies performed intraoperatively during total laparoscopic hysterectomies (TLH). The secondary objectives are 1) to determine the rate of urinary complications during TLHs in our centers and 2) to determine the detection rate of urinary complications using cystoscopy during TLHs.

Method: Descriptive retrospective multicenter study. The study took place in Obstetrics & Gynecology departments of 2 university centers in Montreal. Patients underwent a routine cystoscopy during their TLH for a benign reason in our centers. Five hundred thirty-one charts from January 1, 2012 to January 31, 2018 were reviewed.

Results: The morbidity rate of routine cystoscopies during TLHs is 4.19% (22/524 cases) in our centers. Our urinary complication rate is 2.45% (13/531 cases). Of these 13 complications, 4 were detected by cystoscopy.

Conclusion: The usefulness of routine cystoscopies performed intraoperatively during TLHs is questionable due to the number of morbid events and the low rate of urinary trauma in our centers. However, it is hard to establish a direct causality link between certain morbid events and cystoscopy. More studies should be conducted on this subject.

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腹腔镜全子宫切除术中术中常规膀胱镜检查的发病率评价。

研究目的:主要目的是确定腹腔镜全子宫切除术(TLH)术中常规膀胱镜检查相关的发病事件(尿路感染、血尿、尿潴留、假阳性、意外发现)的发生率。次要目的是:1)确定我院TLHs期间泌尿系统并发症的发生率;2)确定TLHs期间膀胱镜检查泌尿系统并发症的检出率。方法:描述性回顾性多中心研究。这项研究是在蒙特利尔两所大学的妇产科中心进行的。在我们的中心，由于良性原因，患者在TLH期间接受了常规膀胱镜检查。回顾了2012年1月1日至2018年1月31日的531张图表。结果:本院TLHs例行膀胱镜检查的发病率为4.19%(22/524)。泌尿系统并发症发生率为2.45%(13/531)。13例并发症中，膀胱镜检出4例。结论:术中进行常规膀胱镜检查的有效性值得怀疑，因为我们中心的泌尿系统创伤发生率较低。然而，很难在某些病理事件和膀胱镜检查之间建立直接的因果关系。应该对这个问题进行更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JSLS : Journal of the Society of Laparoendoscopic Surgeons SURGERY-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.