Abstract
Laparoscopic surgery for gynecological tumors is a common procedure performed in Japan. The performance of a total laparoscopic hysterectomy (TLH) has been increasing at many hospitals in recent years; furthermore, operative techniques are developed independently at each facility. Ureteral injury is a common TLH complication. Some studies have reported that ureteral injury is up to 35 times more common in a TLH, compared to a conventional abdominal or vaginal hysterectomy. Surgeons should strive for prevention of ureteral injury during a TLH. Routine use of a ureteral stent is performed before TLH at our hospital. It is among the most useful methods for prevention of a ureteral injury.
We use a ureteral stent for all cases of TLH. Unfortunately, we experienced one case among 125 TLH cases in which a ureteral injury occurred. The patient was a 47-year-old woman who underwent a TLH because of hypermenorrhea due to multiple myomas. We report the course of the case and describe the cause of the injury.
