Robotic-Assisted Laparoscopic Repair of Post-Hysterectomy Vesicovaginal Fistula Using Omental Interposition Flap

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Immediate Laparoscopic Nontransvesical Repair without Omental Interposition for Vesicovaginal Fistula Developing after Total Abdominal Hysterectomy

BACKGROUND AND OBJECTIVE We conducted this study to evaluate the feasibility and efficacy of immediate laparoscopic nontransvesical repair without omental interposition for vesicovaginal fistula (VVF) developing after total abdominal hysterectomy (TAH), which causes not only social and economic misery for the patient but also considerable stress to the physicians who perform the surgery. METH...

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Failed omental flap vesicovaginal fistula repair subsequently repaired laparoscopically without an omental flap.

BACKGROUND Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap. CASE A 52-year-old woman with a history of cystotomy repair at the...

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Laparoscopic repair of vesicovaginal fistula.

PURPOSE Vesicovaginal fistula (VVF) is one of the most devastating surgical complications that can occur in women. The primary cause remains an abdominal hysterectomy. Approach to this condition can be transvaginal or transabdominal. Laparoscopic repair of VVF may be an alternative approach to this treating rare condition. We present seven cases of VVF treated with transperitoneal laparoscopic ...

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Vesicovaginal fistula failing multiple surgical attempts salvaged laparoscopically without an interposition omental flap.

Failed vesicovaginal fistula repairs are often considered complicated and are thus relegated to an abdominal approach using an interposition omental flap. We report our successful laparoscopic approach without use of an omental flap in a patient with multiple recurrences of a vesicovaginal fistula.

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A fistula is defined as an abnormal association of two or more epithelial lining. Therefore, vesicocutaneous fistula (VCF) represents an extra anatomic communication between the bladder wall and the external surface of the skin. The most common cause is iatrogenic; however, numerous factors may play a role in the formation of VCFs. When a VCF is identified, it should be treated properly due to ...

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ژورنال

عنوان ژورنال: Journal of Minimally Invasive Gynecology

سال: 2020

ISSN: 1553-4650

DOI: 10.1016/j.jmig.2020.08.246