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Volume 8, Issue 6, December 2020, Page: 222-227
Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital
Koundouno Aly Mampan, Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Traore Bangaly, Department of Oncologic Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Camara Soriba Naby, Department of Visceral Surgery, Friendship Hospital Sino Guinean of Kipe, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Keita Mamady, Department of Oncologic Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Diakité Saikou Yaya, Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Camara Fode Lansana, Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Baldé Abdoulaye Korse, Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Balde Oumar Taibata, Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Diallo Abdoulaye Bobo, Department of Urology Ignace National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Toure Aboubacar, Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea
Received: Nov. 16, 2020;       Accepted: Nov. 30, 2020;       Published: Dec. 16, 2020
DOI: 10.11648/j.js.20200806.19      View  58      Downloads  29
Abstract
The aim of this study was to describe the urinary complications of surgery for gynecological pelvic cancers and their management at the university hospital in Conakry. Patients and methods: This was a descriptive multicenter study in the main surgical treatment services for gynecological pelvic cancer at the University Hospital of Conakry from 2007 to 2017. Results: Out of 22 cases collected, we found 10 (45.5%) cases during surgery and 12 cases of postoperative complications, including 8 (36.36%) early and 4 (18.18%) late. Direct suture on a ureteral probe in 3 cases and by reimplantation according to the Politano Leadbetter method in 2 cases. Laparotomy fistulorrhaphy was performed in 2 (9.1%) cases of VF. the Latzko technique for 6 (27.3%) other cases of FVV. The 2 cases of FUV were repaired by ureteral reimplantation according to the Lich-Grégoire method. In cases of stenosis, we proceeded to segmental resection followed by suturing on a ureteral probe. The morbidity consisted of: 2 cases of secondary VF, suppuration, 2 urinary incontinence, Operative mortality was 3 (13.6%) cases. Conclusion: The prevention of these lesions is the best way and requires a good knowledge of the anatomy and the surgical techniques. Early diagnosis of gynecologic pelvic cancer is necessary to minimize surgical risks.
Keywords
Urinary Tract, Gynecological Pelvic Cancers, Conakry University Hospita
To cite this article
Koundouno Aly Mampan, Traore Bangaly, Camara Soriba Naby, Keita Mamady, Diakité Saikou Yaya, Camara Fode Lansana, Baldé Abdoulaye Korse, Balde Oumar Taibata, Diallo Abdoulaye Bobo, Toure Aboubacar, Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital, Journal of Surgery. Vol. 8, No. 6, 2020, pp. 222-227. doi: 10.11648/j.js.20200806.19
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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