Fistulas between the rectum and the bladder have different etiologies, they may be congenital, acquired, or iatrogenic. Symptoms such as pneumaturia, fecaluria, and the passage of urine through the rectum are often alleviated by fecal and urinary diversion. The interposition of a flap of gracilis muscle is a technique that is very successful, but the conventional dissection of this flap involves a very large incision and a worse aesthetic result
View Article and Find Full Text PDFIntroduction:: Schwannoma are usually benign tumors, most of the cases are asymptomatic, and others may present symptoms by compression. In the literature robotic surgery were described in 8 cases. We emphasize that robotic surgery improves visualization and enable the performance of this procedure.
View Article and Find Full Text PDFTo describe a technical modifi cation for robotic-assisted simple prostatectomy (RASP) using three-steps reconstructive technique to achieve a 360 trigonization of the bladder mucosa. Through fi ve-trocars transperitoneal access, we perform a longitudinal incision of the bladder wall and prostate capsule. Our technique of RASP is very similar to the standard operative technique described during laparoscopic and robotic removal of adenoma, however, for reconstruction, we propose the Tunnel-Shaped Trigonization (TST).
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