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2023, vol. 151, br. 3-4, str. 243-246
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Retka povreda mokraćnog kanala kod lumbalne diskektomije - dva prikaza bolesnika
Rare ureteral injury in lumbar discectomy: Two case reports
aBülent Ecevit University, Faculty of Medicine, Department of Neurosurgery, Zonguldak, Turkey bBilkent University of Health Sciences, School of Medicine, Department of Urology, Ankara City Hospital, Ankara, Turkey
e-adresa: drkeskinemrah@gmail.com
Sažetak
Uvod Jatrogene povrede mokraćne cevi predstavljaju važan deo svih povreda mokraćnih cevi. Javljaju se uglavnom tokom uroloških, ginekoloških i opštih hirurških i vaskularnih zahvata. Povrede mokraćne cevi tokom operacije kičme se u literaturi retko javljaju kao komplikacija. Hteli smo da naglasimo da treba da postoje ograničenja tokom upotrebe hirurških instrumenata koji se koriste prilikom operacije kičme. Prikazi bolesnika Predstavljamo povredu mokraćnog kanala koja se dogodila u dva slučaja lumbalne diskus hernije lečene hirurškim putem na našem Odeljenju za neurohirurgiju. Urolozi su u oba slučaja izvršili zahvat na mokraćnom kanalu. Postoperativni period je prošao bez komplikacija kod oba bolesnika. Zaključak U ovom izveštaju smo naglasili važnost komplikacija koje se javljaju usled povreda mokraćnog kanala, koje su retke i izazivaju medicinske probleme tokom operacije lumbalnog diska. Hirurzi treba da imaju u vidu ovu moguću komplikaciju, koja ima razorne posledice, posebno kod bolesnika s bolovima u abdomenu u ranom postoperativnom periodu.
Abstract
Introduction Iatrogenic ureteral injuries are an important part of all ureteral injuries. They occur primarily during urological, gynecological, vascular, and general procedures. Urethral injury during spinal surgery is a rare complication. We wanted to emphasize that there should be limitations during the use of surgical instruments used in spine surgery. Outlines of cases We present ureteral injury cases that occurred in two patients with lumbar disc herniation who were treated surgically at the Department of Neurosurgery. Ureteral repair was performed in both patients by the urology department. Their postoperative course was uneventful. Conclusion This report emphasizes the importance of ureteral injury complications which are rare, but can cause medicolegal problems during lumbar disc surgery. Surgeons should consider this potential complication, which has devastating consequences, particularly in patients with abdominal pain in the early postoperative period.
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