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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

A retrospective evaluation of risk of ureteric injury associated with hysterectomy
Dr. Sweta Gupta, Dr. Rupesh Gupta, Dr. Kaushik Balkrushna Kadiya

Background: A uncommon but dangerous iatrogenic side effect of a hysterectomy is ureteric damage. The rationale for operation, preexisting risk factors, and postoperative circumstances all affect the risk. Objective: To assess the risk of ureteric damage, taking into account the potential long-term effects of injury related to hysterectomy, and to ascertain if the type of hysterectomy or the surgical indication had an impact on the risk of ureteric injury. Methods: Data for the women who underwent hysterectomy in last four years were collected from hospital registry. Unadjusted rates of ureteric injury within a year following a hysterectomy are assessed, taking into account the kind of operation, indication, and outcome of the injury. Results: Total 170 hysterectomies were performed in hospitals for the designated circumstances (105 for benign and 65 for malignant diseases). In the benign group, number of hysterectomies performed for prolapse was more and for fibroids was lower. Within a year following their hysterectomy, 21 (12,7%) of the 165 women in the research had a ureteric damage documented. The injury rates for benign illnesses did not significantly differ based on the kind of surgery. Vaginal hysterectomy generally had a lower risk of injury. There was no indication that the relative risks of ureteric injury had altered as people aged. Conclusion: For both benign and malignant diseases, the likelihood of ureteric damage within a year following hysterectomy differed depending on the kind of surgery.

 
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