Tipos e vias de abordagem cirúrgica em histerectomia e sua relação com lesão do sistema urinário

• Author(s): Costa,Joana Raquel ; Costa,Antónia
• Date: 2017
• Origin: SciELO Portugal
• Subject(s): Hysterectomy; Urinary tract injury; Urologic morbidity
• Document Type: Journal article
• Language: Portuguese

Description

Hysterectomy is the second most frequently performed gynecological surgery. It is therefore relevant to perform an assessment of factors associated with urological surgical morbidity. Hysterectomy is associated with injuries to the ureter (0-3.97%) and bladder (0-2.8%). The incidence of urologic complications has been declining, as well as the difference between surgical approaches. There are some studies that demonstrate an increased risk of urologic injuries with laparoscopic and radical hysterectomy. Controversy remains on which are the real benefits of subtotal hysterectomy. No differences were found between intrafascial and extrafascial techniques. Concomitant salpingophorectomy doesn't lead to a greater risk of injuries.