Laparoscopic Repair of Vesicovaginal Fistula

Modi, Pranjal; Goel, Rajiv; Dodia, Sharad

doi:10.1159/000092068

Cited by 18 publications

(8 citation statements)

References 17 publications

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“…Controversy still exists over the timing, ideal surgical approach and need for adjuvant measures. Laparoscopic VVF repair attempts to achieve success rates similar to those of transabdominal repair and avoids the morbidity of open surgery [10]. The advantages of a minimally invasive procedure include magnification during the procedure, hemostasis, decreased abdominal pain and a shorter hospital stay with quicker recovery and early return to work.…”

Section: Discussionmentioning

confidence: 99%

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Transvesicoscopic Repair of Vesicovaginal Fistula: Short Term Follow-Up

Guntaka¹,

Nerli²,

Reddy³

et al. 2014

J Women's Health Care

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Section: Discussionmentioning

confidence: 99%

“…Laparoscopic VVF repair is a feasible and efficacious approach with a successful outcome in a majority of the patients. However laparoscopic forehand intracorporeal suturing can be a challenging task [10,11].…”

Section: Discussionmentioning

confidence: 99%

Transvesicoscopic Repair of Vesicovaginal Fistula: Short Term Follow-Up

Guntaka¹,

Nerli²,

Reddy³

et al. 2014

J Women's Health Care

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“…Several studies have shown this technique to be feasible, but the numbers of patients are small and results rely on patient selection and previous laparoscopic experience. [20–22] A review by Kumar et al . concluded that, as an alternative to traditional open repair, laparoscopic VVF repair requires good laparoscopic experience, particularly of pelvic surgery and intracorporeal suturing.…”

Section: Laparoscopic Repairmentioning

confidence: 99%

Vesicovaginal fistulae

Garthwaite

Harris

2010

Indian J Urol

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Vesicovaginal fistula (VVF) formation represents a condition with devastating consequences for the patient and continues to pose a significant challenge to the surgeon. Quick and accurate diagnosis, followed by timely repair is essential to the successful management of these cases. A thorough understanding of the pathophysiology and anatomy of the fistula, potential factors that may compromise healing and experience in the fundamental principles of fistula repair are the vital tools of the fistula surgeon. This review was undertaken to provide an overview of the key areas in VVF investigation and management.

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“…It is largely a derivation of the open surgical O'Connor's bivalving technique, in which a vertical bladder incision is made until the VVF, the fistula is circumscribed and the bladder proximal to it is dissected off the anterior vaginal wall. The vaginal end of the fistula is closed in layers, omentum interposed between the bladder and the vagina and the bladder is closed in layers after that [3,4,5]. …”

Section: Introductionmentioning

confidence: 99%

The AINU Technique for Laparoscopic Vesico-Vaginal Fistula Repair: A Preliminary Report

et al. 2015

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Introduction: With safe obstetric practices now globally available, most vesico-vaginal fistulas (VVF) presenting in recent times are secondary to various gynecologic surgeries. Most of them are supra-trigonal in location. Laparoscopic repair of VVF is gaining ground as an alternative to open repair of VVF. In this study, we describe our initial experience with a novel technique of laparoscopic VVF repair involving a limited transverse cystotomy for access and a single-layered barbed suture closure of bladder. Materials and Methods: Twenty cases of supra-trigonal VVFs following gynecologic surgeries were taken up for repair by our novel technique. The mean age of the patients was 32 years and the mean VVF size was 1.5 cm. Results: The mean operative time was 54 min. Estimated mean blood loss was 30 ml and the mean postoperative stay was 2.5 days. None of the patients had any recurrence with a mean follow-up of 14 months. Conclusion: The limited transverse cystotomy approach has advantages in decreasing the operative time, improving ease of laparoscopic suturing, allowing an automatic separation of suture lines and allowing for an easier anterior dissection of the bladder to reduce tension on the suture line if necessary. Further this approach provides excellent results in select patients of supra-trigonal VVF in terms of continence and postoperative bladder overactivity.

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Laparoscopic Repair of Vesicovaginal Fistula

Cited by 18 publications

References 17 publications

Transvesicoscopic Repair of Vesicovaginal Fistula: Short Term Follow-Up

Transvesicoscopic Repair of Vesicovaginal Fistula: Short Term Follow-Up

Vesicovaginal fistulae

The AINU Technique for Laparoscopic Vesico-Vaginal Fistula Repair: A Preliminary Report

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