Laparoscopic O’Conor's repair for vesico‐vaginal and vesico‐uterine fistulae

Chibber, Percy Jal; Shah, Hemendra N.; Jain, Pritesh

doi:10.1111/j.1464-410x.2005.05592.x

Cited by 85 publications

(54 citation statements)

References 19 publications

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“…[20][21][22] In our series, four of eight (50%) patients had previously undergone unsuccessful open surgery to correct the VVF; this made fistulous tract recognition more difficult because of excessive tissue scarring. We had one conversion (11%) and one failure (12.5%) in the laparoscopic repair of VVF.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Iatrogenic Lesions

Abreu

Tanaka²,

Abreu³

et al. 2008

Journal of Endourology

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Purpose: To present our series of patients who underwent laparoscopic correction of iatrogenic lesions and a review of the literature. Patients and Methods:We evaluated 23 patients who underwent laparoscopic correction of iatrogenic lesions.Thirteen patients had open surgery, 6 had an endoscopic procedure, and 4 had a laparoscopic approach as the first surgical procedure. Vesicovaginal fistulas (VVF) developed in seven patients after open abdominal hysterectomies, and 1 patient presented with a VVF after ureterolithotripsy. A urethral cutaneous fistula developed in one patient after a laparoscopic resection of endometriosis nodules, and 1 patient presented with a ureterovaginal fistula after a perineoplasty. Three patients presented with encrusted ureteral stents after ureterolithotripsy. Ureteral stenosis developed in seven patients: three after open abdominal surgery, three after ureteroscopy, and one after pyeloplasty. One patient had a ureteral injury during laparoscopic partial nephrectomy, and two patients had bowel injuries after a tension-free vaginal tape procedure and a laparoscopic radical prostatectomy. Results: All patients underwent laparoscopic correction of the iatrogenic injuries. One patient had an early recurrence of a VVF, and one patient had a recurrence of a ureteral stenosis. There was one conversion to open surgery because of technical difficulties and one major bleeding event that necessitated blood transfusion. A lower limb compartmental syndrome developed in one patient. Conclusion: Despite the small number of patients and different types of surgeries performed, laparoscopic management of iatrogenic lesions seems to be feasible and safe in experienced hands. Its precise role in the management of this stressful condition still needs to be determined. 1279

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Iatrogenic Lesions

Abreu

Tanaka²,

Abreu³

et al. 2008

Journal of Endourology

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“…No complication was reported in that case. Chibber et al [14] reported 2 cases of laparoscopic VUF repair in a series of 8 urogenital fistulas (the remaining 6 cases were vesicovaginal fistulas). Median operating time was 220 min (190-280) which was longer than our study (135-186 minutes) and any complication was not reported.…”

Section: Discussionmentioning

confidence: 99%

“…Median operating time was 220 min (190-280) which was longer than our study (135-186 minutes) and any complication was not reported. [14] Aminsharifi et al [15] described transperitoneal laparoscopic repair of two VUF with average time of 170 min and less than 100 mL blood loss. They obtained cystograms at 4 weeks postoperatively and urethral catheter was removed when there was no leakage on cystogram.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre

Purkait¹,

Mehrotra²,

Sinha³

et al. 2017

Turkish Journal of Urology

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Objective: Vesicouterine fistula (VUF) is an uncommon cause of female genito-urinary fistula. Most of these fistulas are due to lower segment uterine cesarean section (LSCS). Traditionally, open surgical repair has been the traditional treatment. However, laparoscopic repair of VUF is a minimally invasive technique and few case reports have been published with short term follow up. In the present study, we are presenting our long-term outcome of laparoscopic repair of VUF. Material and methods:A retrospective analysis of 8 patients with VUF was performed from 2010 to 2015. Approval of Institutional Review Committee was obtained. All had history of LSCS of whom 3 had history of prolonged obstructed labor. Radiological imaging included ultrasound of kidney, ureter and bladder for all patients and hysterosalphingography in 4 patients and contrast enhanced computed tomography scan in 4 patients. Results:Median age of the patient was 25.5 years (range, 22-32), and median follow up was 2.3 years (range, 1 -4). The most common presentation was cyclical menstrual bleeding through urine (menouria) in all, associated amenorrhea in 6 and vaginal leakage of urine in 2 cases. All patients underwent laparoscopic repair with successful outcomes. The mean operating time was 155±14.5 min (range, 135-186 min) with a median blood loss of 100 mL (range, 50-210 mL). Successful pregnancy was completed in 2 patients and other patients were taking contraceptives. Conclusion:Laparoscopic repair of VUF is a safe and effective minimally invasive technique with successful pregnancy in long-term follow up.

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“…10,11 On the other hand, the laparoscopic technique has advantages, such as quicker convalescence, a shorter hospital stay, and better cosmetic results, with success rates similar to those of open surgery. 12 Laparoscopy provides better visualization through magnification. However, this technique requires advanced laparoscopic-suturing ability.…”

Section: Discussionmentioning

confidence: 99%

The Use of an Anterior Abdominal Wall Peritoneal Flap in the Laparoscopic Repair of Vesicouterine Fistula

Taşdemir

Abalı

Çelik

et al. 2014

International Surgery

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Vesicouterine fistula (VUF) is a rare type of genitourinary fistula. Lower-segment cesarean section is the leading cause of VUF. Patients mostly present with the classical triad of menouria, amenorrhea, and urinary incontinence, with the history of a previous cesarean section. Conservative management with catheterization and open, laparoscopic, and robotic surgeries are the prescribed treatment options. We present the case of a 35-year-old woman who presented with cyclical menouria and urinary incontinence. After diagnosis of VUF by cystoscopy, the laparoscopic approach was chosen. During the procedure, we used anterior abdominal wall peritoneum and adjacent adipose tissue interposition for the first time, instead of omental interposition, because of the unavailability of omentum. The postoperative period was uneventful, and the procedure was successful. In conclusion, the laparoscopic approach is feasible and the anterior abdominal wall peritoneal flap can be used instead of omentum for tissue interposition when the omentum is not available.

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Laparoscopic O’Conor's repair for vesico‐vaginal and vesico‐uterine fistulae

Cited by 85 publications

References 19 publications

Laparoscopic Management of Iatrogenic Lesions

Laparoscopic Management of Iatrogenic Lesions

Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre

The Use of an Anterior Abdominal Wall Peritoneal Flap in the Laparoscopic Repair of Vesicouterine Fistula

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