2013 Annual Meeting-Laparoscopic Repair of Recurrent Vesicovaginal Fistula Using Omental Flap

Laparoscopic Repair of Recurrent Vesicovaginal Fistula Using Omental Flap - Video

Video Transcription

Video Summary

In this video, it is stated that 80% of vesico-vaginal fistulas in the United States are caused by benign gynecologic surgeries. The incidence of vesico-vaginal fistula after hysterectomy is reported to be 1 in 1,300. Different surgical approaches, including vaginal and abdominal, can be used for repair. Laparoscopic repair has shown success rates between 92 and 100%. The basic principles of surgical repair include exposing the fistula, excising its tract, closing the bladder tightly, using healthy tissue as a barrier, and ensuring post-operative bladder drainage. The video also shares a case study of a 50-year-old woman who underwent abdominal hysterectomy, developed a fistula, and underwent laparoscopic repair with satisfactory results. Laparoscopic repair is associated with high success rates, less pain, shorter hospital stay, and patient satisfaction. <br /><br />Note: The transcript does not mention any specific credits or sources.

Meta Tag

Category surgical video

Category fistula-vesicovaginal

Category surgery

Category Minimally Invasive Procedures

Category fistula

Category PFD Week 2013

Category laparoscopic

Concept Vesicovaginal Fistula

Concept Interposition tissue

Concept Watertight Closure

Concept Bladder Drainage

Concept Hysterectomy

Session 182179

Keywords

vesico-vaginal fistulas

benign gynecologic surgeries

hysterectomy

surgical repair

laparoscopic repair

surgical video

fistula-vesicovaginal

surgery

Minimally Invasive Procedures

fistula

PFD Week 2013

laparoscopic

Vesicovaginal Fistula

Interposition tissue

Watertight Closure

Bladder Drainage

Hysterectomy

182179