Laparoscopic Transvesical Mesh Removal and Vesicovaginal Fistula Repair

نویسنده

  • John R. Miklos
چکیده

Background: Complications associated with anterior vaginal wall mesh used during transvaginal surgery for prolapse occur more frequently than in other areas of the vagina. A vesicovaginal fistula is one of the rare complications of anterior vaginal wall mesh surgery. Case: A 69-year-old woman with a history of anterior vaginal wall prolapse developed a vesicovaginal fistula within days of undergoing anterior transvaginal mesh surgery. A transvesical laparoscopic approach was used to resect the bladder mesh. Then an extravesical vesicovaginal fistula repair was performed. Conclusion: Laparoscopy can be an alternative to simultaneous bladder mesh removal and surgical correction of a vesicovaginal fistula.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Transperitoneal transvesical laparoscopic repair of vesicovaginal fistulae: experience of a tertiary care centre in northern India.

OBJECTIVE To present our experience of treating supratrigonal vesicovaginal fistulae by laparoscopic technique and their long-term follow-up. MATERIAL AND METHODS Between January 2008 and June 2012, 28 cases of supratrigonal fistulas were repaired by laparoscopic transperitoneal transvesical technique with interposition flap. The obstetric fistula was present in 18 and gynecologic fistula in ...

متن کامل

Suprapubic transvesical laparoendoscopic single-site surgery for vesicovaginal fistula repair: a case report

Some minimally invasive techniques have been introduced to decrease morbidity related to standard laparoscopic procedures. One such approach is laparoendoscopic single-site surgery (LESS), which can also be applied for transvesical surgery. The aim of the study was to present our initial clinical experience of using this technique for transvesical vesicovaginal fistula (VVF) repair. In August 2...

متن کامل

A modified transperitoneal laparoscopic approach combined with transvaginal access to repair complex vesicovaginal fistula: our technique and 7-year experience

Objective: To investigate the clinical efficacy of modified transperitoneal laparoscopic approach combined with transvaginal access without omental flap to repair complex vesicovaginal fistula after total hysterectomy. Methods: A total of 68 patients with high-up vesicovaginal fistula were retrospectively reviewed. In 15 cases, the surgery was completed using the laparoscopic transabdominal app...

متن کامل

Treatment of vesicovaginal fistulas: an experience of 30 cases.

BACKGROUND Vesicovaginal fistulas (VVF) are rare. In developed countries, the majority of vesicovaginal fistulas occur after gynecological procedures such as total hysterectomies. OBJECTIVE The evaluation of successfulness of VVF surgical repairs with transvesical, transvaginal and transabdominal approach with omental flap in 30 patients. METHODS This is a retrospective study of patients su...

متن کامل

Repair of complex ureterovaginal and vesicovaginal fistulas with ileal cystoplasty and ureteric reimplantation into an antireflux ileal nipple valve--a case report.

We report a case of a 59-year-old woman with bilateral ureterovaginal and vesicovaginal fistulas after radical total hysterectomy and bilateral salphingo-oophorectomy who failed transvesical repair of the vesicovaginal fistula. The bladder was extensively scarred, half of which had to be excised. This was replaced with an ileal cystoplasty with an antireflux ileal nipple valve into which the ur...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2014