إصابة الحالب المُكتشفة فوراً أثناء الجراحة في مريض مستقر ديناميكياً دموياً

References

• Repair iatrogenic ureteral injuries recognised during surgery immediately.
• In cases of unstable trauma patients, a 'damage control' approach is preferred with ligation of the ureter, diversion of the urine (e.g. via a nephrostomy), and a later delayed definitive repair.
• Endo-urological treatment of small ureteral fistulae and strictures is safe and effective.
• Endo-urological treatment of delayed-diagnosed ureteral injuries by internal stenting, with or without dilatation, is the first step in most cases.
• It is performed either retrogradely or antegradely via a percutaneous nephrostomy, and has a variable success rate of 14–19%.