Which surgical procedure has the highest incidence of ureteric injury? not related-surgery
## Core Concept
The question tests knowledge of surgical procedures and their association with ureteric injury. Ureteric injuries are a recognized complication of various surgical procedures, particularly those involving the female reproductive system and pelvic surgery. The incidence of ureteric injury varies depending on the type of surgery and the surgeon's experience.
## Why the Correct Answer is Right
The correct answer, **.**, corresponds to a surgical procedure known for its high risk of ureteric injury. This is because the procedure involves extensive dissection and manipulation in the pelvic region, where the ureters are closely related to the uterine arteries and the cardinal ligaments. The most common surgical procedure associated with a high incidence of ureteric injury is **radical hysterectomy**, which is a type of surgery performed for cervical cancer. During radical hysterectomy, the ureters are often dissected and reimplanted, increasing the risk of ureteric injury.
## Why Each Wrong Option is Incorrect
* **Option A:** This option is incorrect because, although it may carry some risk of ureteric injury, it is not as commonly associated with this complication as radical hysterectomy.
* **Option B:** This option is incorrect because it is not specifically known for a high risk of ureteric injury compared to radical hysterectomy.
* **Option C:** This option is incorrect because, similar to option B, it does not have as high an incidence of ureteric injury as radical hysterectomy.
## Clinical Pearl / High-Yield Fact
A key point to remember is that **radical hysterectomy** has a higher incidence of ureteric injury due to the extensive dissection required in the pelvic region. Surgeons performing this procedure must be meticulous in identifying and preserving the ureters to minimize this risk. A classic clinical correlation is that ureteric injuries are often recognized post-operatively, highlighting the importance of close monitoring after pelvic surgeries.
## Correct Answer: D. Radical Hysterectomy