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

Session 182179

Keywords

vesico-vaginal fistulas

benign gynecologic surgeries

hysterectomy

surgical repair

laparoscopic repair