Maximum chances of ureteric injury are with
## **Core Concept**
The question pertains to the surgical complications of ureteric injuries, which can occur during pelvic surgeries. Ureteric injuries are a significant concern in gynecologic and pelvic surgeries due to the proximity of the ureters to the surgical sites.
## **Why the Correct Answer is Right**
The correct answer, **C. Laparoscopic procedures**, is associated with a higher risk of ureteric injury. Laparoscopic procedures, especially in gynecology like hysterectomies, have a higher risk of ureteral injury compared to open procedures. This is due to the limited visibility, difficulty in identifying anatomical structures, and the use of electrocautery, which can cause thermal injuries to the ureters.
## **Why Each Wrong Option is Incorrect**
- **Option A:** While open surgeries can also result in ureteric injuries, the risk is generally considered lower compared to laparoscopic procedures due to better visibility and tactile feedback.
- **Option B:** The risk associated with robotic procedures is often comparable to or even lower than that of laparoscopic procedures due to improved visualization and dexterity.
- **Option D:** This option does not provide a specific surgical approach or type, making it impossible to assess its relevance to ureteric injury risk.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that ureteric injuries are most commonly associated with procedures like hysterectomy. Surgeons often use techniques like ureteral dissection and identification to minimize the risk of injury. Additionally, the use of intraoperative ureteral stents can help in identifying ureteral injuries during surgery.
## **Correct Answer:** . C. Laparoscopic procedures