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What Is The Standard Procedure To Protect Ureters During Laparoscopic Hysterectomy?

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Posted on Wed, 11 Mar 2015
Question: Here is my question. What is the standard of care to identify and protect the ureters when performing laproscopic hysterectomy.
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Answered by Dr. Grzegorz Stanko (14 minutes later)
Brief Answer:
Ureter identification is not necessary for this type of surgery.

Detailed Answer:
Hello!

Thank you for the query.

During laparoscopic hysterectomy there is no possibility to harm ureters. Please note that ureters are located outside abdominal cavity (in extraperitoneal space) and uterine is located inside abdominal cavity. There is no direct contact between this two structures.
So the risk of any conflict with ureter during hysterectomy is hardly possible. And this makes ureter identification unnecessary.
Ureter can be identified by urologist who is able to put special catheter inside it so surgeon can palpate it. But this is done in case of large intestine surgeries for example.

Hope this will help. Feel free to ask further questions.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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What Is The Standard Procedure To Protect Ureters During Laparoscopic Hysterectomy?

Brief Answer: Ureter identification is not necessary for this type of surgery. Detailed Answer: Hello! Thank you for the query. During laparoscopic hysterectomy there is no possibility to harm ureters. Please note that ureters are located outside abdominal cavity (in extraperitoneal space) and uterine is located inside abdominal cavity. There is no direct contact between this two structures. So the risk of any conflict with ureter during hysterectomy is hardly possible. And this makes ureter identification unnecessary. Ureter can be identified by urologist who is able to put special catheter inside it so surgeon can palpate it. But this is done in case of large intestine surgeries for example. Hope this will help. Feel free to ask further questions. Regards.