We have located links that may give you full text access.
JOURNAL ARTICLE
REVIEW
Laparoscopic approach to vesicovaginal fistulae.
The surgical repair of vesicovaginal fistula (VVF) over the last two decades has evolved from the transabdominal/transvaginal route to minimally invasive techniques of laparoscopy and robotic surgery. The indications for laparoscopic repair include supratrigonal fistulae, and stenotic/narrow vaginas that make vaginal access to the fistula site difficult. In the current published literature, comparable results have been reported with open surgery. The initial techniques were performed to simulate the open classic technique described by O'Conor, but with better imaging, exposure and magnification, the modified O'Conor (smaller cystotomy) and the extravesical approaches (no cystotomy) are being performed with comparable results. Difficulties such as depth perception, suturing and ergonomics together with the steep learning curve associated with laparoscopy have been overcome with the introduction of robotics. Reports on laparoendoscopic single site surgery (LESS) and transvesicoscopic VVF repairs with successful outcomes have been published, but studies on a large number of patients are needed to establish their effectiveness. Difficulties of managing suturing have been circumvented with the usage of the barbed suture; however, more data are required to establish its efficacy. Although the laparoscopic/robotic approach of a VVF repair offers numerous advantages, the best chance of success is achieved with the first surgical attempt using an approach that the surgeon is familiiar in performing.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app