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Table 3 Summary of cases diagnosed and managed

From: A 6-year retrospective clinical review of iatrogenic ureteric injuries repaired in a resource-deprived setting

Patient ID

Sex

Presentation

Time lag/h

ureteral injury detected at surgery

Procedure done

Complications

#

1s

F

Anuria

-Anaemia

-obstructive nephropathy

72-transfused

Lt Traction in a unilateral kidney

Release of traction suture + stenting

Reactionary haemorrhage

12

2s

M

Urine leakage

Intra-op

Rt. transection

Uretero-Ureterostomy and stenting

✔ Wound infection

21

3ns

F

Anuria, Urine peritonitis

48

Lt. transection

Rt. ligation

Bil. Uretero-Neocystostomy (Lt. Boari-flap + Psoas Hitch) and stenting

✔ Wound infection

21

4ns

F

Anuria, Urine peritonitis

72

Bil. transection

Bil. Uretero-Neocystostomy + stenting

✔ Re-lap for leak

✔ Wound infection

✔ Ileus

32

5ns

F

Anuria

48

Bil. ligation

Bil. Uretero-Neocystostomy + stenting

✔ Ileus

✔ Wound infection

14

6ns

F

Anuria, Urine peritonitis

72

Lt. transection

Rt. ligation

Bil. Uretero-Neocystostomy + stenting

✔ Wound dehiscence

21

7ns

F

On table suspicion

Intra-op

Lt traction

Release of a traction suture

✔ Bleeding

✔ Wound infection

21

8ns

F

On table

Intra-op

Bil. ligation

Bil. Uretero-Neocystostomy_stenting

✔ Wound infection

21

9s

F

Urine leakage

Intra-op

Lt. transection

Ureteroneocystostomy

None

14

10ns

F

Anuria

Urine peritonitis

72

Right traction, left transection

Release of right traction stitch left ureteroneocystostomy + stenting

✔ Wound infection

14

11ns

F

Urine peritonitis

Renal failure anaemia

72

Lt transection

Rt ligation

Bil. Ureteroneocystostomy + JJ stenting

✔ Wound infection

21

12s

F

Urine peritonitis

Intra-op

Lt transection

Ureteroneocystostomy + JJ stenting

✔ Wound infection

14

  1. Lt = left; Rt = right; Bil = bilateral; # = mean duration of hospital stay (days) = 18.7; s = specialist rank of primary surgeon (obstetric gynaecologist or general surgery specialists); ns = non-specialist rank of primary surgeon (medical officer, physician, public health specialist); re-lap = relaparotomy