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Surgery
During the course of an operation on an unstable, critically ill patient, the left ureter is lacerated through 50% of its circumference. If the patient's condition is felt to be too serious to allow time for definitive repair, alternative methods of management include
Ligation of the injured ureter and ipsilateral nephrostomy
Ipsilateral nephrectomy
Placement of a catheter from the distal ureter through an abdominal wall stab wound
Placement of a suction drain adjacent to the injury without further manipulation that might convert the partial laceration into a complete disruption
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