AI Article Synopsis
- Laparoscopic repair of vesicovaginal fistula (VVF) is a minimally invasive procedure that shows promising results based on recent experiences with 15 female patients.
- The surgery involved closing the bladder and vagina using a technique that interposes omentum to enhance healing, with a smooth operation recorded (mean time 171.6 mins) and no complications during or after the procedure.
- Follow-up results (mean 18.9 months) indicated that all patients experienced successful outcomes, highlighting the effectiveness and safety of this laparoscopic approach for treating VVF.
Article Abstract
Introduction And Hypothesis: Laparoscopic repair of vesicovaginal fistula (VVF) has been recently reported. We present our experience of laparoscopic transperitoneal extravesical repair of VVF.
Methods: Fifteen females with supratrigonal VVF were included. Patients with malignant radiation and recurrent fistulas were excluded. Laparoscopic transperitoneal extravesical repair was done using four to five ports. The bladder was closed longitudinally, while the vagina was closed transversally with interposition of omentum in between. Bladder was drained by a urethral catheter for 3 weeks.
Results: Mean operative time was 171.6 ± 19.5 min. There was no conversion to open in all patients. Mean blood loss was 110 ± 17 cc. No intraoperative or postoperative complications. Mean hospital stay was 3 ± 1 days. At a mean follow-up of 18.9 ± 8.6 months all patients were cured.
Conclusions: Laparoscopic transperitoneal extravesical repair of VVF is a safe and effective minimally invasive procedure for treatment of VVF.
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| http://dx.doi.org/10.1007/s00192-010-1334-7 | DOI Listing |
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