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"To analyse factors associated with a ureteric injury. Retrospective accident analysis. Deep endometriosis surgery in a tertiary referral centre," investigators in Louvain, Belgium report (see also Endometriosis).
"Video recording of a surgical accident was analysed by six gynaecologists. A 26-year-old woman underwent laparoscopy for deep endometriosis that involves the rectosigmoid and left ureter. Post operatively left ureter transection was identified and corrected by laparoscopy. Interventions were recorded and reviewed independently. Changes in surgical behaviour that could be measured were identified using the video recording. During the intervention, the periods of uncontrolled bleeding (P
The researchers concluded: "Unconscious acceleration of surgery, possibly as a consequence of fatigue, is suggested as a contributing factor for an error of judgement."
Schonman and colleagues published their study in Bjog - an International Journal of Obstetrics and Gynaecology (Accident analysis: factors contributing to a ureteric injury during deep ...
Source: HighBeam Research, Studies from University Hospital describe new findings in...