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International Urogynecology Journal
Published in: International Urogynecology Journal 2/2013

01-02-2013 | Original Article

Laparoscopic transabdominal transvesical repair of supratrigonal vesicovaginal fistula

Authors: Qi Zhang, Zaiyuan Ye, Feng Liu, Xiaolong Qi, Changming Shao, Xiang He, Dahong Zhang

Published in: International Urogynecology Journal | Issue 2/2013

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Abstract

Introduction and hypothesis

We investigated the clinical efficacy of early laparoscopic repair of supratrigonal vesicovaginal fistula.

Methods

Laparoscopic repair of vesicovaginal fistula was performed and retrospectively studied in 18 consecutive patients who had clear indications for iatrogenic supratrigonal vesicovaginal fistula following hysterectomy or obstetric trauma during delivery. All patients underwent laparoscopic surgery via the transabdominal transvesical route. Wide mobilization of the bladder and vaginal wall, complete excision of devitalized tissue, tension-free closure, omental interposition, and efficient postoperative bladder drainage provides dependable support for definitive closure of the path. Success was defined as the disappearance of the fistula.

Results

Average patient age was 36.7 years; none required open conversion. Mean operative time was 135  (range 75–175) min. Mean duration of bladder catheterization was 15 (range 14–16) days. All patients were cured at the first attempt, with no surgical reintervention or recurrence at a mean follow-up of 22.7 (range 3–45) months.

Conclusions

We believe that laparoscopic repair of supratrigonal vesicovaginal fistula is an excellent alternative to the traditional abdominal approach and provides excellent results.
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Metadata
Title
Laparoscopic transabdominal transvesical repair of supratrigonal vesicovaginal fistula
Authors
Qi Zhang
Zaiyuan Ye
Feng Liu
Xiaolong Qi
Changming Shao
Xiang He
Dahong Zhang
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1850-8

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