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Gynaecology & Obstetrics General 07822661

Which surgical procedure has the highest incidence of ureteric injury?

A
Vaginal hysterectomy
B
Abdominal hysterectomy
C
Weheim's hysterectomy
D
Anterior colporraphy
High-Yield Explanation
The Weheim type of radical hysterectomy for cancer of the cervix is notorious for ureteric injury for which over-dissection of the ureter or accidental injury is most often responsible. Ref: Shaw's Gynaecology, 13th Edition, Pages 180-81; Dutta Gynecology, 4th Edition, Pages 391-92; Management of Common Problems in Obstetrics and Gynecology By T. Murphy Goodwin, Main N. Montoro, Laila Muderspach, Subir Roy, 2010, Page 325; Clinical Gynecology By Bhasker Rao, 4th Edition, 1998, Page 239.

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