Abstract
ACCIDENTAL injury of a ureter is the most frequent serious complication of gynecologic pelvic operations. This fact was brought to our attention by the occurrence of 7 ureteral injuries in 590 total hysterectomies and 1 ureteral injury in 170 supravaginal hysterectomies done during a five-year period at the Massachusetts General Hospital. These 8 cases will serve to illustrate the type of injuries that occur and the surgical principles and procedures to be followed in repairing them. Principles of Treatment Although each patient must be treated according to the circumstances of the case, there are certain important principles that should be . . .
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