Abstract:
In the treatment of some gynecological diseases, ureteral stents (double J stents) have been generally utilized in the prevention of ureteral injury. Nevertheless, if the ureteral stent is retained as a protective reminder during gynecological surgery, severe ureteral injury can be avoided. Hence, it is very essential to be familiar with the anatomy of ureter in gynecological surgery to prevent complications and morbidity. We demonstrate a case of a 49-year-old woman who presented with an electric burn broken ureteral stent in the gynecological surgery, but the ureter is only burned but not broken. This resulted in no abnormality being found during surgery. So, ureteroscopy is necessary to extract the ureteral stent and the patient is inserted with another new ureteral stent to repair the ureteral injury. The electric burn broken ureteral stent is difficult for discovering during the operation. And ureteroscopy is very crucial for the special situation of the ureteral injury.
摘要:
在一些妇科疾病的治疗中,输尿管支架(双J支架)通常用于预防输尿管损伤。然而,如果在妇科手术期间保留输尿管支架作为保护性提醒,可以避免严重的输尿管损伤。因此,在妇科手术中,熟悉输尿管的解剖结构对预防并发症和发病非常必要。我们展示了一个49岁的女性,她在妇科手术中出现了输尿管支架破裂的电烧伤,但是输尿管只是被烧毁了,但没有破裂。这导致在手术期间没有发现异常。所以,输尿管镜检查是必要的,以提取输尿管支架和病人插入另一个新的输尿管支架,以修复输尿管损伤。手术中很难发现输尿管支架电烧伤。输尿管镜检查对于输尿管损伤的特殊情况至关重要。