Aa
Aa
A
A
A
Close
222282 tn?1210164939

negligent hysterectomy

my sil had a hyterectomy today for ovarian cancer and the have cut her ureter ,what are the possibilites here and will she have to have a nepheretomy ?
4 Responses
Sort by: Helpful Oldest Newest
222282 tn?1210164939
hi , in uk they dont tent to give you your blood values .the vomiting was due to anti bs so they have stopped them now however she has to go back to theatre in am because her wound came open and she has been having it packed ,she will also have a scan to see if her kidney to bladder funtion is working via injecting dye and seeing if it leaks on the scan.she should get her ca results too to see if she needs chemo this week too.
she is feeling well at the mo concidering !!
thank you so much for your help and thoughts x x
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

How are her kidney function tests? These involve blood values of serum creatinine, uric acid, and electrolyte levels.

You will need to check how the values are after placement of the stent.

If her kidney function is within normal range or close to it, you can be assured that there has not been any significant damage to the kidney and it will recover.

Have they identified the reason for her nausea and vomiting?
Do let us know how her kidney function tests are, if possible.

Wishing her a speedy recovery
Helpful - 0
222282 tn?1210164939
thaks for that ,its really informative !
she did have a stent and has to keep a catheter untill they have x rayed it ,they did mention at worst kidney removal ! she is poorly at the mo ,being violently sick, on anti bs for infection .im praying its not sepsis !
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

"Depending on the type, duration, and location of the ureteral injury, surgical treatment may range from simple removal of a ligature to ureteroneocystostomy. The most common surgical treatments for ureteral injury are simple removal of a ligature, ureteral stenting, ureteral resection and ureteroureterostomy, transureteroureterostomy, and ureteroneocystostomy"

"If tissue ischemia or a partial transection of the ureteral wall is suspected, a ureteral stent should be placed. The purpose of the stent, which typically is placed cystoscopically, is to act as a structural backbone onto which the healing ureter may mold. It also guarantees drainage of urine from the renal pelvis directly to the urinary bladder. It also can work as a gentle dilator since it moves slightly in an up-and-down motion, associated with breathing, as the kidney unit moves. The use of the stent is thought to minimize the rate of obstruction of a ureteral stricture in the injured area.

Alternatively, a ureterotomy may be made along the length of the injured or strictured section of ureter before placement of a stent. Davis described this technique in 1943 (the Davis intubated ureterotomy) in which a ureterotomy is made and left open over the stent. The ureter eventually heals to form a watertight closure over the stent. The stent is withdrawn 6 weeks after it is placed, as it is estimated that all ureteral healing has occurred by that time.

The principles of the Davis intubated ureterotomy have been extended to endoscopic treatments of ureteral strictures. Ureteroscopic endoureterotomy and Acucise endoureterotomy are 2 modalities that attempt to treat the segment of strictured ureter endoscopically by a longitudinal full-thickness ureteral incision, followed by a stent placement. The success of these procedures closely resembles the success of the open Davis intubated ureterotomy, which approaches 80% patency at 3 years"

"If extensive ischemia or necrosis is the result of an injury, the ureter injury is best treated by excising the injured segment of the ureter and reestablishing continuity with the urinary system. If the ureteral injury occurred above the pelvic brim, the simplest reconstruction is a ureteroureterostomy, a procedure that is indicated for injuries to short segments of the ureter (ie, <2 cm), in which an anastomosis is performed between the 2 cut edges of the ureter"
www.emedicine.com/MED/topic3320.htm

  It is unlikely that she will need a nephrectomy, unless she had other pathology indicating irreversible kidney damage.

   She will also need to undergo a few radioimaging studies to determine the exact nature of the injury and the intervention required.

Do keep us posted on your doubts and progress.
Regards
Helpful - 0
Have an Answer?

You are reading content posted in the Urology Community

Top Urology Answerers
Avatar universal
Southwest , MI
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Discharge often isn't normal, and could mean an infection or an STD.
Dr. Jose Gonzalez-Garcia provides insight to the most commonly asked question about the transfer of HIV between partners.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.