FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3162582035> ?p ?o ?g. }

• W3162582035 endingPage "196" @default.
• W3162582035 startingPage "190" @default.
• W3162582035 abstract "Surgical removal of the uterus is one of the most performed procedures in women, with >600,000 hysterectomies performed per year in the United States alone, most for benign indications. Over the past decade, laparoscopy has become the more popular approach for completion of the hysterectomy globally. The increased uptake of minimally invasive approaches played a role in the adoption of outpatient hysterectomy with estimated volume ranging between 200,000 and 300,000 cases per year. And with more surgeries done in a same-day-discharge setting, screening for iatrogenic surgical injuries would be of paramount importance. The risk of iatrogenic injury to the bladder or ureters during the hysterectomy was estimated to be 0.21%. The rate of injury varied significantly between the different routes, with the highest being for total laparoscopic hysterectomy (0.31%), followed by laparoscopic assisted vaginal hysterectomy (0.29%), total vaginal hysterectomy (0.24%), total abdominal hysterectomy (0.2%), and laparoscopic subtotal hysterectomy (0.14%). Even though the risk of urinary tract injury is extremely low, the consequences related to additional repair, prolonged recovery, resulting disability, and loss of employment, especially if not immediately recognized, could be substantial. The most common risk factors for urinary tract injury are pelvic malignancy, history of pelvic radiation, history of cesarean delivery, prior abdominal surgery, endometriosis, adhesions, broad ligament leiomyomas, and low-volume surgeons (<10 per year). Prompt intraoperative recognition and repair of iatrogenic injuries reduce the risk of significant morbidity (e.g., fistulae formation, deep pelvic infections, and possible deterioration of kidney function). Although cystoscopy may be used intraoperatively to detect such an injury, the question of how often it should be used remains controversial. Although the value of routine cystoscopy per case may be low, the value of routine cystoscopy for the patient and the low-volume surgeon could be high. So, although universal cystoscopy is not required, surgeons early in their career might wish to adopt universal cystoscopy until surgical fortitude is established and experience in assessing level of risk is possible. At that stage, selective cystoscopy could be utilized more appropriately in a cost-effective manner. When index of suspicion is high, or when injury is detected, timely consultation with a urologist may help alleviate the long-term complications by prompt diagnosis and repair when needed. Practice environments that foster collegiality and surgical mentorship for young surgeons optimize outcome and expedite their progress to proficiency, similar to what surgical fellowship programs offer their trainees. (J GYNECOL SURG 37:190)" @default.
• W3162582035 created "2021-05-24" @default.
• W3162582035 creator A5010447107 @default.
• W3162582035 creator A5014195063 @default.
• W3162582035 creator A5069257968 @default.
• W3162582035 date "2021-06-01" @default.
• W3162582035 modified "2023-10-16" @default.
• W3162582035 title "Intraoperative Genitourinary Injuries During a Hysterectomy: Risks, Management, and Mitigation Strategies" @default.
• W3162582035 cites W1920140348 @default.
• W3162582035 cites W1974717633 @default.
• W3162582035 cites W2038325761 @default.
• W3162582035 cites W2039478720 @default.
• W3162582035 cites W2060163515 @default.
• W3162582035 cites W2089549988 @default.
• W3162582035 cites W2126394285 @default.
• W3162582035 cites W2138410195 @default.
• W3162582035 cites W2314436938 @default.
• W3162582035 cites W2331079336 @default.
• W3162582035 cites W2351236140 @default.
• W3162582035 cites W2622033434 @default.
• W3162582035 cites W2630266093 @default.
• W3162582035 cites W2740819491 @default.
• W3162582035 cites W2778696431 @default.
• W3162582035 cites W2913692491 @default.
• W3162582035 cites W2929449864 @default.
• W3162582035 cites W2971575895 @default.
• W3162582035 cites W2980841952 @default.
• W3162582035 cites W3029996582 @default.
• W3162582035 doi "https://doi.org/10.1089/gyn.2021.0041" @default.
• W3162582035 hasPublicationYear "2021" @default.
• W3162582035 type Work @default.
• W3162582035 sameAs 3162582035 @default.
• W3162582035 citedByCount "2" @default.
• W3162582035 countsByYear W31625820352022 @default.
• W3162582035 crossrefType "journal-article" @default.
• W3162582035 hasAuthorship W3162582035A5010447107 @default.
• W3162582035 hasAuthorship W3162582035A5014195063 @default.
• W3162582035 hasAuthorship W3162582035A5069257968 @default.
• W3162582035 hasConcept C105702510 @default.
• W3162582035 hasConcept C133507102 @default.
• W3162582035 hasConcept C134018914 @default.
• W3162582035 hasConcept C141071460 @default.
• W3162582035 hasConcept C2779494336 @default.
• W3162582035 hasConcept C2779522080 @default.
• W3162582035 hasConcept C2780047204 @default.
• W3162582035 hasConcept C2780136519 @default.
• W3162582035 hasConcept C29456083 @default.
• W3162582035 hasConcept C61434518 @default.
• W3162582035 hasConcept C71924100 @default.
• W3162582035 hasConcept C77411442 @default.
• W3162582035 hasConceptScore W3162582035C105702510 @default.
• W3162582035 hasConceptScore W3162582035C133507102 @default.
• W3162582035 hasConceptScore W3162582035C134018914 @default.
• W3162582035 hasConceptScore W3162582035C141071460 @default.
• W3162582035 hasConceptScore W3162582035C2779494336 @default.
• W3162582035 hasConceptScore W3162582035C2779522080 @default.
• W3162582035 hasConceptScore W3162582035C2780047204 @default.
• W3162582035 hasConceptScore W3162582035C2780136519 @default.
• W3162582035 hasConceptScore W3162582035C29456083 @default.
• W3162582035 hasConceptScore W3162582035C61434518 @default.
• W3162582035 hasConceptScore W3162582035C71924100 @default.
• W3162582035 hasConceptScore W3162582035C77411442 @default.
• W3162582035 hasIssue "3" @default.
• W3162582035 hasLocation W31625820351 @default.
• W3162582035 hasOpenAccess W3162582035 @default.
• W3162582035 hasPrimaryLocation W31625820351 @default.
• W3162582035 hasRelatedWork W2008880781 @default.
• W3162582035 hasRelatedWork W2058832735 @default.
• W3162582035 hasRelatedWork W2368375822 @default.
• W3162582035 hasRelatedWork W2396486757 @default.
• W3162582035 hasRelatedWork W2409503582 @default.
• W3162582035 hasRelatedWork W2412854030 @default.
• W3162582035 hasRelatedWork W2416015771 @default.
• W3162582035 hasRelatedWork W2766690916 @default.
• W3162582035 hasRelatedWork W378132567 @default.
• W3162582035 hasRelatedWork W4280593556 @default.
• W3162582035 hasVolume "37" @default.
• W3162582035 isParatext "false" @default.
• W3162582035 isRetracted "false" @default.
• W3162582035 magId "3162582035" @default.
• W3162582035 workType "article" @default.