Document Detail


Laparoscopic vesicovaginal fistula repair.
MedLine Citation:
PMID:  23269335     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: Vesicovaginal fistulas are uncommon and remain a surgical challenge. Abdominal hysterectomy remains their main cause. We present our experience in laparoscopic repair of vesicovaginal fistula. METHODS: Between January 2006 and January 2008, 8 laparoscopic transvesical procedures for VVF repair were performed at our institution (O'Connor technique). For each case we analyzed demographic and surgical variables as well as the outcome. Surgical technique is also described. RESULTS: Average patient age was 45 years. All patients had past history of hysterectomy and subsequent history of urine leak through vagina, with a mean evolution time of 22 months. The average operative time was 150 minutes and the mean hospital stay 4.7 days. All patients evolved without complications except one who had urinary tract infection (Pseudomonas aeruginosa) that was treated with antibiotics. After a mean follow up of 32 months, there were no recurrences. CONCLUSION: In experienced hands, transvesical transabdominal laparoscopic vesicovaginal fistula repair is a feasible and safe procedure, preserving all the advantages of minimally invasive surgery.
Authors:
Natalia Miranda Utrera; Alejandro Foneron; Octavio A Castillo
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Archivos espanoles de urologia     Volume:  65     ISSN:  1576-8260     ISO Abbreviation:  Arch. Esp. Urol.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0064757     Medline TA:  Arch Esp Urol     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  887-890     Citation Subset:  -    
Affiliation:
Urology Department. Clínica Indisa. Santiago. Chile.
Vernacular Title:
Manejo laparoscópico de las fístulas vesico vaginales.
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