Vesicovaginal fistula failing multiple surgical attempts salvaged laparoscopically without an interposition omental flap.
نویسندگان
چکیده
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.
منابع مشابه
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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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...
متن کاملTreatment 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 کاملA 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 کاملDoctor! Will I be dry? Factors determining recurrence after vesicovaginal fistula repair.
OBJECTIVE To evaluate various prognostic factors which determine outcome after surgical repair of vesicovaginal fistula. METHODS The retrospective study was conducted at Koohi Goth Fistula Hospital, Karachi, and comprised data related to patients having undergone vesicovaginal fistula repair from January 2007 to June 2012. Multivariate analysis of the record was done using SPSS 19 software de...
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ورودعنوان ژورنال:
- Journal of minimally invasive gynecology
دوره 19 6 شماره
صفحات -
تاریخ انتشار 2012