Ureteric perforation following Laparoscopic Assisted Vaginal Hysterectomy (LAVH): Case report

Abstract

Ureteric injury is one of the most common complications of hysterectomy, both in open and laparoscopic and is a source of serious morbidity. Laparoscopy carries a higher risk because of increased use of electro-surgery close to the ureter when securing the uterine artery and it is more likely to be overlooked or to present late. Prevention is the best approach, which requires the surgeon to have a high index of suspicion. However, when the injury occurs, early recognition is important as the treatment at this stage avoids more serious complications. This case highlights these points and draws attention to this complication.