Iatrogenic injury of the lumbar ureter and iliac vessels after lumbar discectomy: urologic treatment using kidney autotransplantation

We report a case of a patient with a secondary injury of external iliac artery and vein in the L4-L5 laminectomy and discectomy course. An immediately vein suture and ilio-iliac by-pass with Dacron was made. In the postoperative a iatrogenic lumbar ureter section was discovered and treated with rena...

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Veröffentlicht in:	Actas urologicas españolas 2002-07, Vol.26 (7), p.504-508
Hauptverfasser:	Ríos González, E, Ramón de Fata Chillón, F, Tabernero Gómez, A, Núñez Mora, C, Hidalgo Togores, L, de la Peña Barthel, J J
Format:	Artikel
Sprache:	spa
Schlagworte:	Adult Blood Transfusion Combined Modality Therapy Diskectomy Female Hematoma - etiology Hematoma - surgery Humans Iatrogenic Disease Intestinal Obstruction - etiology Intraoperative Complications - surgery Intraoperative Complications - therapy Kidney Transplantation Lumbar Vertebrae - surgery Postoperative Complications - etiology Radiography Retroperitoneal Space Transplantation, Autologous Ureter - diagnostic imaging Ureter - injuries Ureter - surgery Urine
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Zusammenfassung:	We report a case of a patient with a secondary injury of external iliac artery and vein in the L4-L5 laminectomy and discectomy course. An immediately vein suture and ilio-iliac by-pass with Dacron was made. In the postoperative a iatrogenic lumbar ureter section was discovered and treated with renal autotransplantation. We review the options described in the literature in the management of these complex ureteral injuries.
ISSN:	0210-4806