Purpose: The purpose of this study is to describe a simple extravesical laparoscopic approach for supratrigonal vesicovaginal fistula (VVF) repair without cystotomy and closer of the vaginal vault. Materials and Methods: This retrospective observational study reviewed data of 36 patients from January 2015 to January 2020. In our technique, the fistula tract was identified without cystotomy with the help of preplaced ureteric catheter in VVF tract. After meticulous extravesical dissection of the fistula tract, the bladder wall was closed in a single layer using polyglactin 2.0 sutures. The omental flap was approximated over the vaginal vault without primary closer of the vault. Results: In most of the patients the fistula opening were located 2 cm away from ureteric orifice while in 4 patients it located within 2 cm of orifice. The mean operative time was 86 min (65–125) and estimated blood loss was 94 ml (40–130). The mean size of fistula was 7.1 mm (5–15 mm). Omental flap was approximate over vaginal opening in most of the patients. The average hospital stay of patients was 5 days. In all patients, Foley catheter was removed on day 14 after cystogram. The mean follow-up of patients was 4.2 months (3–7). All patients remained continent and symptom free during the follow-up periods. Conclusion: Our technique without suturing of the vaginal vault in laparoscopic VVF repair is safe in a simple supratrigonal fistula with good results and avoiding added suturing.

Introduction: The incidence of electrical accidents has increased due to the use of electricity in households, institutions, and industries. Electrical injury is a major cause of burn injury and significant cause of mortality, morbidity, and disability. Materials and Methods: This prospective analytical study which was conducted in the department of surgery of our tertiary care center MBS hospital from July 2016 to June 2017. A total of 120 patients of electric burn were included in our study burn unit. We reviewed the following variables such as age, sex, occupation, socioeconomic status, mechanism of injury, body surface area involve, voltage, course at hospital stay, prognosis, and surgical modalities. Results: There were 111 males and 9 females. Seventy-four electric injuries were due to high-tension line above 1000 V and remaining by household line. In 84% of patients, upper limbs were involved. Most of the patients were farmer and student who belong to farmer families and most were of the working age group. Twenty-three (19.17%) patients underwent major amputation due to extensive tissue and bone destruction. During the follow-up period, 22 patients had only the ability to perform their usual and daily activities and could not work at all. Conclusions: Electric burns are preventable public health problem. Preventative strategies need to be put in place to decrease the incidence of electrical injuries. The prevention is possible by increasing awareness through primary education and advice precautions such as the use of insulated gloves and footwear.