Zgodnje odkrivanje uroloških zapletov po laparoskopski histerektomiji in vloga medicinske sestre : pregled literature

Oblak, Mihaela (author), Mihelič Zajec, Andreja (mentor)

Uvod: Uroginekološke poškodbe so med laparoskopsko histerektomijo resen problem. Identifikacija teh poškodb pomaga medicinski sestri in ostalemu zdravstvenemu osebju preprečevati nadaljnje zaplete na sečilih. Namen: Prikazati pogostost poškodb na sečilih ob laparoskopski histerektomiji in na kaj vse mora biti pozorna medicinska sestra pri takšni vrsti operacije. Metode dela: Delo temelji na pregledu literature. Vključena je domača in tuja literatura prosto dostopna v celotnem besedilu in smo jo identificirali v naslednjih podatkovnih bazah: CINAHL with full text, Medline, Digitalna knjižnica Slovenije (Zdravniški vestnik), Medscape Nursing. Za iskanje literature smo uporabili ključne besede: histerektomija, poškodbe mehurja, komplikacije, urinski trakt, urinska inkontinenca, zdravstvena nega. Analizirali smo 8 člankov iz Medline, 7 iz CINAHLa, 2 iz Zdravniškega vestnika ter iz Medscape Nursing 4 članke. Razprava in sklep: Laparoskopska histerektomija ima številne prednosti, vendar ostaja še vedno prepričanje, da je ta poseg povezan z bistveno višjo incidenco poškodb na sečilih. Poškodbe na mehurju in sečilih so zelo majhne, tudi če ne pride do poškodb na sečilih, je vseeno bistvenega pomena, da pacientkam zagotovimo optimalno zdravstveno oskrbo, zgodnje prepoznavanje težav in zdravljenje. Po opravljeni laparoskopski histerektomiji lahko nastanejo zgodnji in pozni zapleti na sečilih, ki lahko kasneje vplivajo na kakovost življenja žensk. Naloge medicinskih sester po izvedbi laparoskopske histerektomije so opazovanje pacientk, preprečevanje in odkrivanje uroloških zapletov ter sodelovanje pri njihovi obravnavi.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, histerektomija, poškodbe mehurja, komplikacije, urinski trakt, urinska inkontinenca, zdravstvena nega
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Oblak]
• Year: 2017
• Number of pages: 25 str.
• PID: 20.500.12556/RUL-91866
• COBISS.SI-ID: 5257835
• Publication date in RUL: 26.04.2017

OBLAK, Mihaela, 2017, Zgodnje odkrivanje uroloških zapletov po laparoskopski histerektomiji in vloga medicinske sestre : pregled literature [online]. Bachelor’s thesis. Ljubljana : [M. Oblak. [Accessed 21 June 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=91866

Secondary language

• Language: English
• Title: Early detection of urological complications following laparoscopic hysterectomy and the role of nurse : literature review

Abstract

Introduction: Uroginecologic injury during laparoscopic hysterectomy is a serious problem. Identification of these lesions helps nurses and other health professional to prevent further complications to the urinary tract. Purpose: Display the frequency of injuries to the urinary tract by laparoscopic hysterectomy and what should be wary of the nurse in this type of operation. Methods: The diploma work is based on literature review. It includes domestic and foreign literature freely accessible throughout and we have identified the following databases: CINAHL with Full Text, Medline, Digital Library of Slovenia (Zdravniški vestnik), Medscape Nursing. To search the literature we used the key words: hysterectomy, bladder damage, complications, urinary tract, incontinence care. We analyzed 8 articles from Medline, 7 from CINAHL, 2 from the Zdravniški vestnik and 4 articles from Medscape Nursing. Discussion and conclusion: Laparoscopic hysterectomy offers many advantages but remains convinved that this procedure is associated with a significantly higher incidence of injuries to the urinary tract. Injuries to the bladder and urinary tract are very small even if there is no damage to the urinary tract it is nevertheless essential of his patients to provide optimal medical care, early recognition of the problem, knowledge and treatment. After carrying out laparoscopic hysterectomy may occur early and late complications on the urinary tract, which can later affect the quality of life of women. The tasks of nurses after performing laparoscopic hysterectomy is the observation of patients, prevention and detection of urological complications and participate in their dicussion.

• Keywords: diploma theses, nursing care, hysterectomy, bladder damage, complications, urinary tract, urinary incontinence, nursing care