关键词: Postoperative complication Stricture recurrence Ureteral reconstruction Urinary extravasation Urinary tract infection

来  源:   DOI:10.1016/j.ajur.2024.02.007   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to provide a comprehensive overview of the complications unique to ureteral reconstruction in adults, emphasizing their presentation, diagnosis, and management in the treatment of ureteral structure disease.
UNASSIGNED: This review involves an in-depth analysis of existing literature and case studies pertaining to ureteral reconstruction, with a focus on examining the range of complications that can arise post-surgery. Special attention is given to the presentation of each complication, the diagnostic process involved, and the subsequent management strategies.
UNASSIGNED: Ureteral reconstruction can treat ureteral stricture disease with low morbidity; however, complications, although uncommon, can have severe consequences. The most notable complications include urinary extravasation, stricture recurrence, urinary tract infections, compartment syndrome, symptomatic vesicoureteral reflux, and Boari flap necrosis. Each complication presents unique diagnostic challenges and requires specific management approaches.
UNASSIGNED: Ureteral reconstruction is a highly effective treatment for ureteral stricture disease. Having a strong understanding of the potential complications that patients may experience following ureteral reconstruction is not only critical to adequately counsel patients but also facilitate prompt diagnosis and management of complications when they arise.
摘要:
本研究旨在全面概述成人输尿管重建特有的并发症,强调他们的介绍,诊断,输尿管结构疾病的治疗和管理。
这篇综述涉及对现有文献和案例研究有关输尿管重建的深入分析,重点检查手术后可能出现的并发症的范围。特别注意每个并发症的呈现,所涉及的诊断过程,以及后续的管理策略。
输尿管重建术可以治疗输尿管狭窄疾病,发病率低;然而,并发症,虽然不常见,会有严重的后果。最显著的并发症包括尿外渗,狭窄复发,尿路感染,筋膜室综合征,有症状的膀胱输尿管反流,和Boari皮瓣坏死。每种并发症都提出了独特的诊断挑战,并需要特定的管理方法。
输尿管重建术是治疗输尿管狭窄的有效方法。对输尿管重建后患者可能经历的潜在并发症有深刻的了解不仅对于充分咨询患者至关重要,而且还有助于在出现并发症时及时诊断和管理。
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