Laparoscopic Repair of Vesicovaginal Fistula

Otsuka, Rodrigo; Amaro, João Luiz; Tanaka, Milton; Epacagnan, Eduardo; Mendes, J. B.; Kawano, Paulo Roberto; Fugita, Oscar Eduardo Hidetoshi

doi:10.1089/end.2006.9846

Cited by 38 publications

(14 citation statements)

References 15 publications

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“…El tratamiento de las FVV tiene cierto grado de controversia. Está descrito que el manejo conservador, mediante una sonda vesical mantenida por algunas semanas, tiene una tasa de cierre espontáneo sólo entre 7% y 12,5% 2,9 . Esta baja probabilidad de éxito hace que el tratamiento quirúrgico desempeñe un rol sumamente importante en la corrección quirúrgica definitiva de esta patología.…”

Section: Discussionunclassified

“…Recientemente publicamos nuestra experiencia en la reparación laparoscópica de FVV en 8 casos demostrando ser un abordaje factible y seguro que puede reproducir los pasos de la cirugía convencional 5 . No obstante, al ser una patología infrecuente, las series publicadas son de pocos casos (Tabla 1) [7][8][9][12][13][14][15] . La serie con mayor Recientemente se ha incorporado a nuestros recursos quirúrgicos la cirugía robótica (da Vinci®) que es posible que pueda aportar ventajas comparativas o superiores a la vía laparoscópica 16,17 .…”

Section: Discussionunclassified

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Cirugía laparoscópica de la fístula vesico-vaginal: resultados de una experiencia multi-institucional

P²,

et al. 2013

Rev Chil Cir

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Laparoscopic surgery of vesicovaginal fistula: results of a multi institutional experienceIntroduction: Vesico-vaginal fistula is a rare complication of gynecologic surgery, with a high rate of surgical resolution O'Conor open technique. Aim: To report the results of a multi-institutional experience in laparoscopic repair of vesico-vaginal fistula. Material and Methods: Between January 2006 and June 2011, 21 laparoscopic vesico-vaginal fistula were performed. The surgical technique, demographic variables and results are described. Results: The mean age was 45.6 years. The average time between the diagnosis of the fistula and the laparoscopic repair was 15.23 months. The mean total operative time (bladder and laparoscopic) was 153.12 minutes and the average hospital stay was 2.7 days. The average time of bladder catheter was 9.4 days. There was a minimal recurrence of a fistula, repaired by a vaginal approach. Urethrocystography revealed indemnity of the repair in the other 20 cases. The overall success rate was 95.2% (20 out of 21 patients) Conclusions: The laparoscopic approach follows all principles for repair of a vesico-vaginal fistulas. It look like a good alternative in the hands of experienced surgeons.

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Section: Discussionunclassified

Cirugía laparoscópica de la fístula vesico-vaginal: resultados de una experiencia multi-institucional

P²,

et al. 2013

Rev Chil Cir

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“…Thereafter, others published results with limited numbers of patients [86][87][88][89][90][91][92][93][94][95]. Hysterectomy and obstetrics represented the most frequent cause of VVF formation (Table 7).…”

Section: Repair Of Vesico-vaginal Fistulamentioning

confidence: 99%

Role of laparoscopy in reconstructive surgery

Rassweiler

Pini²,

Gözen³

et al. 2010

Current Opinion in Urology

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“…Laparoscopic and robot-assisted approaches have been described by various authors in case reports and small series but mainly restricted to tertiary centers due to the need for cost-prohibitive equipment and advanced laparoscopy skills [27][28][29].…”

Section: When Is the Best Time To Repair?mentioning

confidence: 99%

“…The newer laparoscopic and robot-assisted techniques may not confer any benefi t to the patient in terms of morbidity because most published small series show mean operative time of 170 to 280 minutes and mean hospital stay of 3 to 7 days [27][28][29]. From a practical standpoint, these techniques offer no advantage to clinicians in the community setting who may lack special advanced laparoscopy training and expensive equipment.…”

Section: Which Surgical Approach Is Recommended?mentioning

confidence: 99%

Urinary fistulas: What does the evidence say?

Kim

Smith²,

Raz³

2008

Curr Bladder Dysfunct Rep

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Urinary fi stulas are well-recognized, iatrogenic complications in developed countries that require timely diagnosis and tailored management. Vesicovaginal fi stula (VVF) is the most common type of urinary fi stula. Depending on the size, mechanism of injury, time of discovery, evidence of active infl ammation, and experience of the surgeon, a wide range of treatment options exist for VVF. Most fi stulas can be promptly repaired transvaginally, with high success rates at the time of diagnosis unless there are ongoing infl ammatory processes. Tissue interposition and surgical approach should be guided by individual case. The role of novel techniques for urinary fi stula repair-such as laparoscopic-assisted approach, endoscopic fulguration, and use of fi brin glue-is still being defi ned and currently has limited application. This article reviews the current literature and establishes guidelines for the evaluation and management of VVF.

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Laparoscopic Repair of Vesicovaginal Fistula

Cited by 38 publications

References 15 publications

Cirugía laparoscópica de la fístula vesico-vaginal: resultados de una experiencia multi-institucional

Cirugía laparoscópica de la fístula vesico-vaginal: resultados de una experiencia multi-institucional

Role of laparoscopy in reconstructive surgery

Urinary fistulas: What does the evidence say?

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