This case involves a 29-year-old female who underwent a hysterectomy using a robotic surgical technique. According to the medical records, the patient’s ureter was cauterized during the procedure and was obstructed as a result. Several repair surgeries have been attempted with little to no success. The patient is unable to perform up to her previous functional capacity due to the placement of a nephrostomy drainage tube. There is not much optimism for a full recovery.
Question(s) For Expert Witness
1. How often do you perform this procedure?
2. Is this a known complication of the surgery?
Expert Witness Response E-000249
I regularly perform hysterectomies, primarily vaginal, abdominal, or laparoscopic and sometimes it is with the assistance of the DaVinci robot. Although ureteral injury is a known complication of surgery, it should not occur absent malignancy, severe endometriosis, infection or negligence. That is, we will occasionally, and deliberately, resect a portion of ureter involved with cancer or endometriosis, and at the same surgery reanastomose the cut edges, usually with placement of a ureteral stent. There is no excuse for terminating surgery with an undiagnosed ureteral injury. That is, when operating close to the ureter, we need to assess its integrity before closing the abdominal incisions.
About the author
Michael Talve, CEO
Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.
