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International urogynecology journal
Jun, 2011;22 (6): 693-7.

Laparoscopic transperitoneal extravesical repair of vesicovaginal fistula.

Aly M Abdel-Karim, Ahmed Mousa, Mohamed Hasouna, Salah Elsalmy
Author Information
  1. Aly M Abdel-Karim: Urology Department, Alexandria University, 12 Ahmed Basha Zol-Fokar, # 903 Louran, Alexandria, Egypt. alym_68@yahoo.com
PMID: 21107809 DOI: 10.1007/s00192-010-1334-7

Abstract

INTRODUCTION AND HYPOTHESIS: Laparoscopic repair of vesicovaginal fistula (VVF) has been recently reported. We present our experience of laparoscopic transperitoneal extravesical repair of VVF.
METHODS: Fifteen females with supratrigonal VVF were included. patients with malignant radiation and recurrent fistulas were excluded. Laparoscopic transperitoneal extravesical repair was done using four to five ports. The bladder was closed longitudinally, while the vagina was closed transversally with interposition of omentum in between. Bladder was drained by a urethral catheter for 3 weeks.
RESULTS: Mean operative time was 171.6 ± 19.5 min. There was no conversion to open in all patients. Mean blood loss was 110 ± 17 cc. No intraoperative or postoperative complications. Mean hospital stay was 3 ± 1 days. At a mean follow-up of 18.9 ± 8.6 months all patients were cured.
CONCLUSIONS: Laparoscopic transperitoneal extravesical repair of VVF is a safe and effective minimally invasive procedure for treatment of VVF.

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MeSH Term

Adult
Blood Loss, Surgical
Female
Humans
Laparoscopy
Length of Stay
Middle Aged
Prospective Studies
Time Factors
Treatment Outcome
Vesicovaginal Fistula
Young Adult
Clinical Trial Journal Article

Word Cloud

Created with Highcharts 10.0.0repairVVFLaparoscopictransperitonealextravesical±Meanvesicovaginalfistulaclosed36patientsINTRODUCTIONANDHYPOTHESIS:recentlyreportedpresentexperiencelaparoscopicMETHODS:FifteenfemalessupratrigonalincludedPatientsmalignantradiationrecurrentfistulasexcludeddoneusingfourfiveportsbladderlongitudinallyvaginatransversallyinterpositionomentumBladderdrainedurethralcatheterweeksRESULTS:operativetime171195minconversionopenbloodloss11017ccintraoperativepostoperativecomplicationshospitalstay1daysmeanfollow-up1898monthscuredCONCLUSIONS:safeeffectiveminimallyinvasiveproceduretreatment

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