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International Urogynecology Journal

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01-03-2015 | IUJ Video

Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique

Authors: John R. Miklos, Robert D. Moore

Published in: International Urogynecology Journal | Issue 3/2015

Abstract

Introduction and hypothesis

The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy.

Methods

This video depicts a new surgical technique utilizing a laparoscopic transperitoneal extravesical approach without invasive bladder bivalving or an omental flap. This technique was first described in 1999 and has been utilized on >40 patients with either primary or recurrent vesicovaginal fistulas.

Results

A 98% success rate is reported.

Conclusion

This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.

Available only for authorised users

O’Connor VJ Jr (1980) Review of experience with vesicovaginal fistula repair. J Urol 123:367–78

Miklos JR, Sobolewski C, Lucente V (1999) Laparoscopic management of recurrent vesicovaginal fistulal Int Urogynecol. J Pelvic Floor Dysfunct 10(2):116–17CrossRef

Abdel-Karim AM, Mousa A, Hasouna M, Elsalmy S (2011) Laparoscopic transperitoneal extravesical repair of vesicovaginal fistula. Int Urogynecol J 22(6):693–7CrossRefPubMed

Miklos JR, Moore RD (2012) Failed omental flap vesicovaginal fistula repair subsequently repaired laparoscopically without an omental flap. Female Pelvic Med Reconstr Surg 18(6):372–3CrossRefPubMed

Miklos JR, Moore RD (2012) Vesicovaginal fistula failing multiple surgical attempts salvaged laparoscopically without an interposition omental flap. J Minim Invasive Gynecol 19(6):794–7CrossRefPubMed

Title: Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique
Authors: John R. Miklos
Robert D. Moore
Publication date: 01-03-2015
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 3/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2292-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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