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https://www.readbyqxmd.com/read/27924377/robot-assisted-extravesical-vesicovaginal-fistula-repair-utilizing-laparoscopically-mobilized-omental-flap-interposition
#1
Kara L Watts, Richard Ho, Reza Ghavamian, Nitya Abraham
INTRODUCTION AND HYPOTHESIS: High vesicovaginal fistulas (VVF) in the setting of good apical support are best repaired via a transabdominal approach. Laparoscopic VVF repair was first reported in 1998. Several series of robot-assisted VVF repairs have since been published. The robot-assisted approach allows repair of high apical vaginal fistulas while avoiding the morbidity of laparotomy, shortening convalescence, and facilitating the use of omental interposition flaps. This video presents the technique for robot-assisted extravesical VVF repair utilizing a laparoscopically mobilized omental flap...
December 6, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27896256/comparative-analysis-of-outcome-between-laparoscopic-versus-open-surgical-repair-for-vesico-vaginal-fistula
#2
Bastab Ghosh, Varun Wats, Dilip Kumar Pal
OBJECTIVE: Vesicovaginal fistula (VVF) causes detrimental psychosomatic effects on a woman. It is repaired using open abdominal as well as laparoscopic approach. Here we compare a series of open versus laparoscopic VVF repairs done at a single centre. METHODS: Retrospectively data of patients undergoing VVF repair in our department between January 2011 to December 2014 was analyzed. Patients who had a single, primary, simple VVF following a gynaecological surgery were included in the study...
November 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27880958/factors-influencing-repair-outcomes-of-vesicovaginal-fistula-a-retrospective-review-of-139-procedures
#3
Liang Zhou, Tong-Xin Yang, De-Yi Luo, Shu-Lian Chen, Bang-Hua Liao, Hong Li, Kun-Jie Wang, Hong Shen
INTRODUCTION: We aimed to report the outcomes of patients undergoing vesicovaginal fistula (VVF) repair to identify prognostic factors. MATERIALS AND METHODS: Patients who underwent VVF repair between January 2009 and October 2015 were reviewed. Primary outcome was fistula closure at 3 months. RESULTS: A total of 123 patients and 139 procedures of VVF repair were reviewed. The overall success rate was 85.6%. There were no significant differences in age (p = 0...
November 24, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27844235/robot-assisted-laparoscopic-colpectomy-in-female-to-male-transgender-patients-technique-and-outcomes-of-a-prospective-cohort-study
#4
Freek Groenman, Charlotte Nikkels, Judith Huirne, Mick van Trotsenburg, Hans Trum
BACKGROUND: Gender-affirming surgeries in female-to-male (FtM) transgender patients include mostly hysterectomy, bilateral salpingo-oophorectomy and mastectomy. Sometimes further surgery is performed, such as phalloplasty. Colpectomy may be performed to overcome gender dysphoria and disturbing vaginal discharge; furthermore, it may be important in reducing the risk of fistulas due to the phalloplasty procedure with urethral elongation. Colpectomy prior to the reconstruction of the neourethra seems to reduce fistula rates on the very first anastomosis...
November 14, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27844120/robot-assisted-vesicovaginal-fistula-repair-a-safe-and-feasible-technique
#5
Girdhar S Bora, Shivanshu Singh, Ravimohan S Mavuduru, Sudheer K Devana, Santosh Kumar, Uttam K Mete, Shrawan K Singh, Arup K Mandal
INTRODUCTION AND HYPOTHESIS: Open transabdominal repair of vesicovaginal fistula (VVF) requires a long cystotomy incision, suprapubic drainage and delayed recovery. Laparoscopic repair is limited by difficult suturing in pelvic procedures. Therefore, the utility of robotic assistance is being increasingly explored. We share our initial experience of robot-assisted laparoscopic VVF repair. METHODS: The data from patients who underwent robot-assisted VVF repair from December 2014 to August 2016 were recorded and analyzed...
November 14, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27843220/cyanoacrylate-injection-in-management-of-recurrent-vesicovaginal-fistula-our-experience
#6
Ajit S Sawant, Gaurav Vinod Kasat, Vikash Kumar
Treating recurrent vesicovaginal fistula (VVF) is a major clinical problem. We present a technique and special precautions taken during treatment of a small recurrent VVF with the help of combined cystoscopic and/or transvaginal injection of cyanoacrylate in two patients. Except for frequency of micturition in the first patient, postoperative follow-up was uneventful. Endoscopic management with cyanoacrylate is a simple and effective alternative to major reconstructive surgery.
October 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27826116/safety-and-efficacy-of-advanced-bipolar-vessel-sealing-in-vaginal-hysterectomy-1000-cases
#7
Henri Clavé, Arnaud Clavé
STUDY OBJECTIVE: To determine the safety and efficacy of advanced electrothermal bipolar vessel sealing (EBVS) during vaginal hysterectomy by evaluating urinary complications, overall complications, and reoperation rate. DESIGN: A retrospective cohort (Canadian Task Force classification III) SETTING: High volume gynecologic surgeon practice, private hospital. PATIENTS: One thousand consecutive patients who have undergone vaginal hysterectomy for benign conditions carried out with EBVS between January 2002 and December 2012...
November 5, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27824744/enterovaginal-or-vesicovaginal-fistula-control-using-a-silicone-cup
#8
Katie W Russell, Ryan E Robinson, Mary C Mone, Courtney L Scaife
BACKGROUND: An enterovaginal or vesicovaginal fistula is a complication resulting in vaginal discharge of succus, urine, or stool that can lead to significant complications. For low-volume fistulae, tampons or pads may be used. With high-volume fistulae, frequent product change can be painful and unpredictable in terms of efficacy. The psychologic distress is profound. Surgery may not be an option, making symptom control the priority. INSTRUMENT: We report the use of a reusable menstrual silicone vaginal cup placed to divert and contain drainage...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27821123/factors-associated-with-the-failure-of-obstetric-fistula-repair-in-guinea-implications-for-practice
#9
Alexandre Delamou, Therese Delvaux, Abdoul Habib Beavogui, Abdoulaye Toure, Delphin Kolié, Sidikiba Sidibé, Mandian Camara, Kindy Diallo, Thierno Hamidou Barry, Moustapha Diallo, Alain Leveque, Wei-Hong Zhang, Vincent De Brouwere
BACKGROUND: The prevention and treatment of obstetric fistula still remains a concern and a challenge in low income countries. The objective of this study was to estimate the overall proportions of failure of fistula closure and incontinence among women undergoing repair for obstetric fistula in Guinea and identify its associated factors. METHODS: This was a retrospective cohort study using data extracted from medical records of fistula repairs between 1 January 2012 and 30 September 2013...
November 8, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27796423/pessary-migration-into-the-bladder-a-rare-episode-of-removal-and-repair-of-a-vesicovaginal-fistula
#10
Joseph Gauta
No abstract text is available yet for this article.
October 28, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27794173/vesicovaginal-fistulas-in-the-developed-world-an-analysis-of-disease-characteristics-treatments-and-complications-of-surgical-repair-using-the-acs-nsqip-database
#11
Marissa C Theofanides, Wilson Sui, Elisabeth M Sebesta, Ifeanyi Onyeji, Justin T Matulay, Doreen E Chung
AIMS: To analyze patient characteristics, complications, and surgical trends in vesicovaginal fistulas (VVF) from a national database. METHODS: Current Procedural Terminology was used to identify patients undergoing VVF repair from the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database. Characteristics and treatments were identified. Logistic regression was used to identify characteristics associated with complications. RESULTS: From 2006 to 2013, 200 patients underwent VVF repair...
October 29, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27790520/large-dumbbell-shaped-vesicovaginal-calculus-managed-with-holmium-laser-cystolithotripsy-followed-by-staged-repair-of-vesicovaginal-fistula
#12
Ajit Sawant, Ashwin Sunil Tamhankar, Prakash Pawar, Gaurav Vinod Kasat, Lomesh Kapadnis
Complicated Vesicovaginal Fistulae (VVF) is prevalent in developing countries following obstetric injury. We report a rare case of a large dumbbell shaped vesicovaginal calculus measuring 7x 4.6cm in a patient with recurrent, complicated VVF managed successfully in two stages 6 weeks apart. Holmium laser (30 Watt) cystolithotripsy was used to break the vesical portion of the stone at the waist of the dumbbell, followed by delivery of vaginal part of the stone. Trans-abdominal VVF repair (O'Connor method) with omental interposition flap with right side ureteric reimplant was done after six weeks...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27776848/-clinical-practice-guidelines-synthesis-of-the-guidelines-for-the-surgical-treatment-of-primary-pelvic-organ-prolapse-in-women-by-the-afu-cngof-sifud-pp-snfcp-and-scgp
#13
L Le Normand, M Cosson, F Cour, X Deffieux, L Donon, P Ferry, B Fatton, J-F Hermieu, H Marret, G Meurette, A Cortesse, L Wagner, X Fritel
OBJECTIVE: Develop guidelines for surgery for primary pelvic organ prolapse (POP). METHODS: Literature review, establishment of levels of evidence, external review, and grading of recommendations by 5 French academic societies: Association Française d'Urologie, Collège National des Gynécologues et Obstétriciens Français, Société Interdisciplinaire d'Urodynamique et de Pelvi-Périnéologie, Société Nationale Française de Colo-proctologie, and Société de Chirurgie Gynécologique et Pelvienne...
December 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27741181/identifying-patients-with-vesicovaginal-fistula-at-high-risk-of-urinary-incontinence-after-surgery
#14
Angela M Bengtson, Dawn Kopp, Jennifer H Tang, Ennet Chipungu, Margaret Moyo, Jeffrey Wilkinson
OBJECTIVE: To develop a risk score to identify women with vesicovaginal fistula at high risk of residual urinary incontinence after surgical repair. METHODS: We conducted a prospective cohort study among 401 women undergoing their first vesicovaginal fistula repair at a referral fistula repair center in Lilongwe, Malawi, between September 2011 and December 2014, who returned for follow-up within 120 days of surgery. We used logistic regression to develop a risk score to identify women with a high likelihood of residual urinary incontinence, defined as incontinence grade 2-5 within 120 days of vesicovaginal fistula repair, based on preoperative clinical and demographic characteristics (age, number of years with fistula, human immunodeficiency virus status, body mass index, previous repair surgery at an outside facility, revised Goh classification, Goh vesicovaginal fistula size, circumferential fistula, vaginal scaring, bladder size, and urethral length)...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27678671/lateral-approach-for-difficult-dissection-of-the-vesicovaginal-space-during-hysterectomy
#15
R Ribeiro, W Kondo, Mtz Kondo, R M Hayashi, J A Guerreiro
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27651632/laparoscopic-vesicovaginal-fistula-repair-with-limited-cystotomy-a-rewarding-treatment-option
#16
Bastab Ghosh, Deepak K Biswal, Malay K Bera, Dilip K Pal
INTRODUCTION: Vesicovaginal fistula (VVF) is the most common type of urogenital fistula. Gynecologic surgery is the most common cause associated with it. Laparoscopic approach for VVF repair gives the benefit of minimally invasive surgery with principles similar to open transabdominal approach. MATERIALS AND METHODS: We retrospectively reviewed data of 13 patients who underwent laparoscopic vesicovaginal repair at our department from December 2012 to December 2014...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27640063/bladder-stones-in-vesicovaginal-fistula-is-concurrent-repair-an-option-experience-with-87-patients
#17
Steven N Shephard, Sunday J Lengmang, Carolyn V Kirschner
INTRODUCTION AND HYPOTHESIS: The objective was to assess the outcomes of a one-stage approach to bladder stones in the setting of a vesicovaginal fistula, performing fistula repair concurrently with stone extraction. METHODS: Retrospective review of urogenital fistula surgeries at Evangel VVF Center in Jos, Nigeria, between December 2003 and April 2014, identified 87 women with bladder stones accompanying their fistulas and 2,979 repaired without stones. Concurrent stone extraction and fistula repair were performed in 51 patients...
September 17, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27636218/identifying-gaps-and-inconsistencies-in-urogynecologic-surgical-training-of-obstetrics-and-gynecology-residents
#18
Emily E Weber LeBrun, Hazel Asumu, Anne M Richardson, LouAnn A Cooper, John D Davis
OBJECTIVE: This study aims to determine the expectations of Obstetrics and Gynecology (ObGyn) residency and Female Pelvic Medicine & Reconstructive Surgery (FPMRS) fellowship program directors (FPDs) for the independent performance of urogynecologic procedures during residency and to compare these expectations with the Council on Resident Education in Obstetrics and Gynecology (CREOG) educational objectives. MATERIALS AND METHODS: Two parallel, anonymous surveys were distributed simultaneously to all directors of accredited ObGyn residency and FPMRS fellowship programs in the United States...
November 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27627757/tissue-reactions-to-heterogenic-and-allogeneic-acellular-dermal-matrix-mesh-placed-in-the-vesicovaginal-space-in-a-rabbit-model
#19
Ying Yao, Kun Zhang, Jinsong Han, Junfang Yang, Fuli Zhu, Yiting Wang, Jie Qiao
BACKGROUND AND AIM: This study is aimed at investigating the tissue reactions of heterogenic and allogeneic acellular dermal matrix (ADM) mesh implanted in the vesicovaginal space in a rabbit model. METHODS: Twenty eight rabbits were implanted with heterogenic or allogeneic mesh, respectively, in the vesicovaginal space, and 4 served as the no-implantation control group. Rabbits were sacrificed at 7, 30, and 90 days after implantation. Histopathological study and immunohistochemical examination for collagen were performed...
September 15, 2016: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/27604964/holmium-yag-laser-ablation-for-the-management-of-lower-urinary-tract-foreign-bodies-following-incontinence-surgery-a-case-series-and-systematic-review
#20
Garson Chan, Adiel Mamut, Paul Martin, Blayne Welk
INTRODUCTION: The objective of this study was to determine the outcomes associated with the endoscopic removal of foreign bodies (such as mesh or permanent suture) in the lower urinary tract after female stress incontinence surgery with the Holmium:YAG (Ho:YAG) laser, and to systematically review the literature on this topic. MATERIALS AND METHODS: A retrospective chart review of 18 consecutive women found to have mesh or suture exposure was performed. All patients underwent Ho:YAG laser ablation...
October 6, 2016: Journal of Endourology
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