TY - JOUR AU - Juarez-Soto, Alvaro AU - Arroyo-Maestre, Jose Miguel AU - Soto-Delgado, Manuel AU - Beardo-Villar, Pastora AU - Arrabal-Polo, Miguel Angel AU - Sanchez-Margallo, Francisco M PY - 2014/05/21 Y2 - 2024/03/28 TI - Laparoscopic dissection of the intramural ureter to repair a complete transection of the distal ureter: Initial experience with a new minimally invasive technique that preserves the anatomy of the urinary tract JF - Canadian Urological Association Journal JA - CUAJ VL - 8 IS - 5-6 SE - Case Report DO - 10.5489/cuaj.1699 UR - https://cuaj.ca/index.php/journal/article/view/1699 SP - e366-70 AB - We report 2 patients with ureteral injury after a simple total laparoscopic hysterectomy for uterine myoma with a complete resection of the distal ureter. One patient had unilateral injury and the other 2 patients had bilateral injury. The surgical laparoscopic repair procedure was carried out 3 to 5 days after the injury. Surgery involved intramural dissection of the distal ureteral stump to expose at least 1 cm of the ureter, percutaneous ureteral stent placement, elimination of tension between the proximal ureter and the dissected distal stump, end-to-end anastomosis, and reinsertion of the distal ureter into the bladder muscle layer, which was previously dissected for the anastomosis. ER -