REDUCING THE RISK OF URETERAL INJURIES IN GYNECOLOGIC SURGERY: A NARRATIVE REVIEW.

Abstract

This narrative review aims to comprehensively investigate strategies and techniques for reducing the risk of ureteral injuries in gynecologic surgery, highlighting the importance of anatomical knowledge and surgical skill.

A thorough review of the existing literature was conducted, including research articles, clinical guidelines, and case studies related to ureteral injuries in gynecologic surgery. Emphasis was placed on identifying risk factors, anatomical considerations, and preventive measures.

The review elucidates that iatrogenic ureteral injuries in gynecologic surgery can occur even in the absence of apparent risk factors. It emphasizes the critical role of surgeons' understanding of ureteral anatomy and susceptibility sites to minimize the risk of injury. Techniques such as intraoperative cystoscopy and ureteral stent placement are explored as valuable preventive tools. Additionally, the importance of surgical skill, recognition of anatomical landmarks, and adherence to established guidelines are underscored.

Preventing ureteral injuries in gynecologic surgery is essential for patient safety and outcomes. Surgeons should possess a thorough knowledge of ureteral anatomy and vulnerable regions, coupled with vigilance during procedures. Intraoperative measures like cystoscopy and stent placement, along with adherence to best practices, contribute to minimizing the risk of ureteral injuries. By prioritizing these strategies, gynecologic surgeons can enhance patient care and reduce the incidence of iatrogenic ureteral injuries.