Laparoscopic vesicovaginal fistula repair with robotic reconstruction
| Autor: | Bernard Turbow, Louis Eichel, Allan M. Shanberg, Ori Melamud |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Urology Fistula Urinary Bladder Foley catheter Vesicovaginal fistula Postoperative Complications Hysterectomy Vaginal medicine Humans Minimally Invasive Surgical Procedures Laparoscopy Urinary bladder Leiomyoma Vesicovaginal Fistula medicine.diagnostic_test business.industry Robotics medicine.disease Surgery Endoscopy medicine.anatomical_structure Uterine Neoplasms Hysterectomy vaginal Female Ureteral Catheters business |
| Zdroj: | Urology. 65:163-166 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2004.09.052 |
| Popis: | Introduction To describe, to our knowledge, the first case report of robotic-assisted laparoscopic repair of a vesicovaginal fistula. A 44-year-old woman presented with a vesicovaginal fistula after vaginal hysterectomy. She had been noted to have a bladder injury that was repaired at that time. A vesicovaginal fistula developed several weeks later, and she was referred for repair. The location of the fistula was deemed amenable to repair using a robot-assisted laparoscopic approach. Technical considerations The total operative time was 280 minutes, including placement of ureteral catheters and repositioning. The estimated blood loss was 50 mL. The fistula was repaired using robot-assisted laparoscopic techniques without complications, and the patient went home on the second postoperative day. The Foley catheter was removed 2 weeks postoperatively. The patient continued to void normally without recurrence at 16 weeks of follow-up. Conclusions Laparoscopic repair of vesicovaginal fistulas has not gained widespread acceptance owing to its technical difficulty. We describe a minimally invasive laparoscopic approach using the DaVinci robotic system to repair a vesicovaginal fistula. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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