Harnleitertrauma

History of non Ureterverletzungen account for only about 1-3% of the Urogenitaltraumen. In general, they are a result of gunshot wounds and in rare cases of stab wounds. In children Ausrissverletzungen are more common. Complications include, peritoneal or extraperitoneal extravasation, perinephric abscess, fistula (z. B. ureterovaginal, ureterokutan) and urethral stricture, obstruction, or both.

Most ureteral injury occur during surgery. Methods in which most of ureteral happen sine z. As the ureteroscopy, the hysterectomy, the low anterior colon resection and abdominal aneurysm repair. the mechanisms include ligation, transection, avulsion, Bruise, devascularisation, kinking and electrocoagulation history of non Ureterverletzungen make up only about 1-3% of Urogenitaltraumen out. In general, they are a result of gunshot wounds and in rare cases of stab wounds. In children Ausrissverletzungen are more common. Complications include, peritoneal or extraperitoneal extravasation, perinephric abscess, fistula (z. B. ureterovaginal, ureterokutan) and urethral stricture, obstruction, or both. Diagnostic imaging, exploratory surgery, or both, the suspicion with appropriate history, the diagnosis requires great care, because the symptoms are non-specific and hematuria at> 30% of patients missing. Diagnosis is by imaging methods (eg., CT with contrast medium, also delayed images, retro garde pyelography include) made exploratory surgery or both. Fever, signal sensitivity, prolonged ileus, urinary incontinence, constipation and sepsis are the most common signs of delayed, otherwise occult injuries. Treatment If minor injuries: percutaneous nephrostomy or ureteral stent For larger injuries: surgical repair all injuries require intervention. A dissipative percutaneous nephrostomy or cystoscopic placement of ureter stents are often sufficient with low injury (z. B. contusions or partial cracks). A complete tear or demolition requires reconstructive measures are usually what the Ureterreimplantation, the primary Ureteranastomose, the anterior (Boari) bubble lobes Ileuminterposition and as a last resort autotransplantation belong. Important Points Most ureteral injury occur during surgery. Have a high index of suspicion, as are nonspecific and hematuria is often absent.

Health Life Media Team

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