Robotic vesico-vaginal fistula repair with no omental flap interposition
| Autor: | J. Frizzi, Alberto Martini, Maria Cristina Paoletti, Donata Villari, E. Dattolo |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Urology Fistula Operative Time Urinary Bladder 030232 urology & nephrology Omental flap Fistulous tract Surgical Flaps 03 medical and health sciences 0302 clinical medicine Vesico-Vaginal Fistula Robotic Surgical Procedures medicine Humans 030219 obstetrics & reproductive medicine Vesicovaginal Fistula urogenital system business.industry Suture Techniques Obstetrics and Gynecology medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Vagina Urine leakage Urologic Surgical Procedures Female Minimally invasive repair Robotic Vesico-vaginal fistula Omentum business |
| Zdroj: | Europe PubMed Central |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | A vesico-vaginal fistula (VVF) is a fistulous tract that connects bladder and vagina, causing urine leakage via the vagina. In the developed world, iatrogenic postoperative VVF is the most common case. Classically, when treating a VVF via the abdominal route, an abdominal flap is mobilized and interposed between the bladder and the vagina.In our video, we describe a robotic VVF repair technique with no omental flap interpositioning for a vaginal vault-located fistula.Duration of surgery was 95 min, estimated blood loss was50 ml. The postoperative course was uneventful. At the 6-month follow-up, which included clinical and cystographic examinations, the patient had not experienced any recurrence.In our opinion, a two-layered suturing technique using two semi-continuous sutures for vaginal closure and perpendicular interrupted stitches for bladder closure does not require omental flap mobilization, reducing operating time and possible complications related to accidental peritoneal injuries. |
| Databáze: | OpenAIRE |
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