腹腔镜宫颈上子宫切除术并发迟发性膀胱宫颈瘘

James F. Daniell, Ted L. Anderson, Roseann Maikis
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引用次数: 1

摘要

腹腔镜下宫颈上子宫切除术在世界范围内越来越被广泛接受。本病例报告的目的是描述与该手术相关的罕见尿路并发症。病例报告。内窥镜手术的转诊实践。35岁未生育女性,复发性子宫内膜异位症和慢性盆腔疼痛。双侧salpingo-oöphorectomy腹腔镜宫颈上子宫切除术。患者术后3周出现膀胱颈瘘。在泌尿科会诊后,在诊断后36小时内通过小切口、经膀胱切除和修复瘘成功治疗。腹腔镜宫颈上子宫切除术后可发生尿路瘘。如果及时诊断并妥善处理,标准修复可以成功,发病率可以降到最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laparoscopic supracervical hysterectomy complicated by delayed vesicocervical fistula

Laparoscopically performed supracervical hysterectomy is becoming more widely accepted around the world. The objective of this case report is to describe a rare urinary tract complication associated with this operation.

Case report.

Referral practice for endoscopic surgery.

A 35-year-old nulliparous woman with recurrent endometriosis and chronic pelvic pain.

A laparoscopic supracervical hysterectomy with bilateral salpingo-oöphorectomy.

The patient developed a vesico-cervical fistula 3 weeks postoperatively. After urological consultation, this was treated successfully via minilaparotomy, transvesical excision, and repair of the fistula within 36 h of diagnosis.

Urinary tract fistulas can occur following laparoscopic supracervical hysterectomy. If they are diagnosed immediately and properly managed, standard repair can be successful and morbidity can be minimized.

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