{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:08:05Z","timestamp":1784552885495,"version":"3.55.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To investigate the underlying risk factors, clinical value, usefulness, and outcome of laparoscopic management of urinary tract injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective cohort study including 25 patients of a case of urinary tract injuries in duration from January 1, 2015 to May 31, 2023 was conducted at tertiary care hospital from Central India after the approval from the institutional ethics committee was obtained. All the cases were managed by laparoscopic route by a single surgeon with more than 15 years of experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 25 patients were operated for urinary tract injuries at our hospital during the study period. All cases were managed laparoscopically. All patients showed complete recovery. The major risk factors for injury were adhesions, previous lower segment cesarean section, and endometriosis. The most of injuries occurred during hysterectomy, with few of them during cesarean section. Ten cases of bladder injuries were identified intraoperatively and managed by bladder repair in two layers. Four cases with ureteric injuries were managed by ureteric catheterization. In ureterovaginal fistula group, 5 cases were managed by ureteric re-implantation uretero-neocystotomy whereas, 1 case was managed by ureteric catheterization. Five cases with vesicovaginal fistula (VVF) were managed by VVF repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The sound anatomical knowledge of pelvic anatomy, risk factors associated with urinary tract injury, and meticulous operative procedure is important for the prevention and early identification of the injuries if any to minimize the morbidity postoperatively. With technical advances and surgical expertise urinary tract injuries can be managed by laparoscopy with excellent outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit-d-24-00031","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:00:34Z","timestamp":1784304034000},"page":"220-226","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of Urinary Tract Injuries by Laparoscopy: Our Experience"],"prefix":"10.4103","volume":"15","author":[{"given":"Pandit","family":"Palaskar","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Endoworld Hospital, Chhatrapati Sambhajinagar, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Sanap","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Endoworld Hospital, Chhatrapati Sambhajinagar, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandan","family":"Nagaonkar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Endoworld Hospital, Chhatrapati Sambhajinagar, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Vimala","family":"Preethi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Endoworld Hospital, Chhatrapati Sambhajinagar, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"R1-20260720","first-page":"85","article-title":"Successful laparoscopic approach to intraperitoneal bladder injury caused during gynaecologic surgery. A case report","volume":"8","author":"Abonia-Velasco","year":"2022","journal-title":"Case Rep"},{"key":"R2-20260720","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.jmig.2014.01.006","article-title":"Urinary tract injuries in laparoscopic hysterectomy: A systematic review","volume":"21","author":"Adelman","year":"2014","journal-title":"J Minim Invasive Gynecol"},{"key":"R3-20260720","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/GMIT.GMIT_87_18","article-title":"Bladder safety during natural orifice transluminal endoscopic surgery hysterectomy in the patients with extensive vesicouterine adhesion","volume":"8","author":"Tantitamit","year":"2019","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R4-20260720","doi-asserted-by":"crossref","first-page":"105","DOI":"10.4103\/GMIT.GMIT_69_20","article-title":"Comparative analysis of peri-operative outcomes following total laparoscopic hysterectomy with conventional bipolar-electrosurgery versus high-pressure pulsed ligasure use","volume":"11","author":"Batra","year":"2022","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R5-20260720","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.gmit.2015.02.003","article-title":"The diagnosis and management of ureteric injury after laparoscopy","volume":"4","author":"Wijaya","year":"2015","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R6-20260720","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.gmit.2016.06.003","article-title":"Delayed detection of ureteral thermal injury in laparoscopic surgery","volume":"6","author":"Shinohara","year":"2017","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R7-20260720","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1111\/aogs.14641","article-title":"Iatrogenic bladder injury following gynecologic and obstetric surgery: A systematic review and meta-analysis","volume":"102","author":"Jensen","year":"2023","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R8-20260720","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1055\/s-0035-1549378","article-title":"Iatrogenic urinary tract injuries: Etiology, diagnosis, and management","volume":"32","author":"Esparaz","year":"2015","journal-title":"Semin Intervent Radiol"},{"key":"R9-20260720","doi-asserted-by":"crossref","first-page":"88","DOI":"10.4103\/GMIT.GMIT_142_20","article-title":"Perioperative serum creatinine change and delayed urologic complications following total laparoscopic hysterectomy for benign indications","volume":"11","author":"Higami","year":"2022","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R12-20260720","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/S1074-3804(98)80073-X","article-title":"Prevention and management of urinary tract injury in laparoscopic surgery","volume":"5","author":"Hasson","year":"1998","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"R13-20260720","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.3390\/healthcare13151780","article-title":"Exploring urinary tract injuries in gynecological surgery: Current insights and future directions","volume":"13","author":"Arcieri","year":"2025","journal-title":"Healthcare (Basel)"},{"key":"R14-20260720","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.ogrm.2016.07.003","article-title":"Urological complications following gynaecological surgery","volume":"26","author":"Gopinath","year":"2016","journal-title":"Obstet Gynaecol Reprod Med"},{"key":"R15-20260720","doi-asserted-by":"crossref","first-page":"149","DOI":"10.21608\/aimj.2022.126998.1877","article-title":"Urinary Tract Injuries during Obstetric and Gynecologic Surgeries: Rates and Management Outcome at Two High-Volume Centers in a Developing Country","volume":"3","author":"Solyman","year":"2022","journal-title":"Al Azhar Int Med J"},{"key":"R16-20260720","doi-asserted-by":"crossref","first-page":"26","DOI":"10.4103\/0974-7796.158502","article-title":"Urologic complications following obstetrics and gynecologicai surgery: Our experience in a tertiary care hospital","volume":"8","author":"Pal","year":"2016","journal-title":"Urol Ann"},{"key":"R17-20260720","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/AOG.0000000000002414","article-title":"Urinary tract injury in gynecologic laparoscopy for benign indication: A systematic review","volume":"131","author":"Wong","year":"2018","journal-title":"Obstet Gynecol"},{"key":"R18-20260720","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s00404-008-0733-1","article-title":"Bladder injuries during cesarean section in a university hospital: A 25-year review","volume":"279","author":"Rahman","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"R19-20260720","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jogc.2021.09.020","article-title":"Risk factors for urologic injury in women undergoing hysterectomy for benign indication","volume":"44","author":"Nayak","year":"2022","journal-title":"J Obstet Gynaecol Can"},{"key":"R20-20260720","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/S0039-6109(05)70173-0","article-title":"Iatrogenic injuries in gynecologic cancer surgery","volume":"81","author":"Mendez","year":"2001","journal-title":"Surg Clin North Am"},{"key":"R21-20260720","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1464-410X.2004.04896.x","article-title":"Consensus statement on bladder injuries","volume":"94","author":"Gomez","year":"2004","journal-title":"BJU Int"},{"key":"R22-20260720","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/01.ju.0000128632.29421.87","article-title":"Urological injuries during cesarean section: Intraoperative diagnosis and management","volume":"172","author":"Yossepowitch","year":"2004","journal-title":"J Urol"},{"key":"R23-20260720","first-page":"13","article-title":"Laparoscopic ureteral reimplant for distal ureteral strictures","volume":"12","author":"Ogan","year":"2008","journal-title":"JSLS"},{"key":"R24-20260720","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.urology.2006.10.023","article-title":"Technical modifications to laparoscopic Boari flap","volume":"69","author":"Simmons","year":"2007","journal-title":"Urology"},{"key":"R25-20260720","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00192-014-2458-y","article-title":"Laparoscopic extravesical vesicovaginal fistula repair: Our technique and 15-year experience","volume":"26","author":"Miklos","year":"2015","journal-title":"Int Urogynecol J"},{"key":"R26-20260720","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.ajur.2019.04.004","article-title":"Laparoscopic transvesical vesicovaginal fistula repair with the least invasive way: Only three trocars and a limited posterior cystotomy","volume":"7","author":"Giannakopoulos","year":"2020","journal-title":"Asian J Urol"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/gmit.GMIT-D-24-00031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:00:14Z","timestamp":1784552414000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/gmit.GMIT-D-24-00031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit-d-24-00031","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2024-09-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}