The Journal of Trauma: Injury, Infection, and Critical Care · 1990 · 45 citations · 0 references
MedicineSurgeryUrologyUrogenital SurgeryUrologic SurgeryUrologic TraumaBlunt Urologic InjuryRenal TraumaUreteral InjuryUreteral ReconstructionUreteral SurgeryUreteral TraumaBlunt Ureteral InjuryComplications Of Ureteral InjuryComplications Of Ureteral TraumaDevitalized Tissue RemovalEarly DiagnosisUreteral Injury After Urologic SurgeryUreteral LacerationUreteropelvic Injury
We reviewed our more recent results in the management of gunshot wounds of the ureter. Sixteen consecutive patient records were reviewed. Two of the patients died from complications not related to their ureteral injuries. The remaining 14 patients had good results. Proper management consists of: 1) early diagnosis and repair; 2) adequate debridement of devitalized tissue; 3) tensionless spatulated watertight anastomosis with absorbable suture; 4) internal stenting; and 5) drainage of periureteral tissues.