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输尿管损伤是妇科手术的潜在危险,通常发生在困难的腹部手术中。大部分泌尿道损伤在手术时可以及时发现和校正。然而,某些情况不能准确的认清输尿管情况,需要进一步检查。本文报道37例患者在困难手术后应用耻骨上窥镜。方法是先关闭前腹膜,预防尿漏出污染腹腔。术前放置Foley氏导管,向膀胱内注入生理盐水,扩张膀胱。在膀胱顶部做1cm直切口直达粘膜层,切口周围用00肠线荷包缝合,用2-mm耻骨上窥镜
Ureteral injury is a potential risk of gynecological surgery and usually occurs during difficult abdominal surgery. Most urinary tract injuries can be detected and corrected in time. However, some cases do not accurately recognize the ureter situation and require further examination. This article reports 37 cases of suprapubic endoscopy after difficult surgery. The method is to close the anterior peritoneum to prevent urinary leakage of contaminated abdominal cavity. Preoperative placement of Foley’s catheter, the bladder into the normal saline, bladder expansion. In the top of the bladder to do 1cm straight incision straight mucosa, incision around the gut purse suture with 2-mm suprapubic speculum