Wednesday, February 16, 2011

Injury to Ureters

Q) Management of ureteral injury at the time of Left Colectomy

A) Mobilization of the two ends of the ureter and anastomoses of the spatulated ends over a stent

Q) Which portion of the ureter is at chance of injury during hysterectomy

A) At the level of broad ligament where ureter passes under the uterine vascular pedicle in relation to the cervix

Q) What are the contraindications of using ileum as a ureteic implant

A) Impaired renal function (Creatinine more than 2mg%)

      Bladder outlet obstruction

    Impaired emptying of bladder

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