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International Urogynecology Journal

Erschienen in:

01.06.2011 | Original Article

Laparoscopic transperitoneal extravesical repair of vesicovaginal fistula

verfasst von: Aly M. Abdel-Karim, Ahmed Mousa, Mohamed Hasouna, Salah Elsalmy

Erschienen in: International Urogynecology Journal | Ausgabe 6/2011

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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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Titel: Laparoscopic transperitoneal extravesical repair of vesicovaginal fistula
verfasst von: Aly M. Abdel-Karim
Ahmed Mousa
Mohamed Hasouna
Salah Elsalmy
Publikationsdatum: 01.06.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 6/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1334-7

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Laparoscopic transperitoneal extravesical repair of vesicovaginal fistula

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Introduction and hypothesis

Methods

Results

Conclusions

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