Which surgical procedure has the highest incidence of ureteric injury?
Vaginal hysterectomy
Abdominal hysterectomy
Weheim's hysterectomy
Anterior colporraphy
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.