2013 Annual Meeting-Robotic Assisted Laparoscopic Repair of A Vesico-vaginal Fistula

Robotic Assisted Laparoscopic Repair of A Vesico-vaginal Fistula - Video

Video Transcription

Video Summary

The video presents a robotic assisted laparoscopic repair of a large vesicovaginal fistula in a 42-year-old female patient. The patient had previously experienced a bladder injury during an abdominal hysterectomy, followed by an unsuccessful transvaginal repair of the fistula. The surgical procedure involved visualizing the fistula tract using a cystoscope and ureteral catheter stenting. A vaginoscopy was performed, followed by a cystotomy to access the fistula tract. Mapping of the tract was done, and sharp dissection and debridement of the edges were performed. Closure of the vaginal mucosa and bladder mucosa was carried out, along with reinforcement and watertight closure. A Repliform Matrix Delmar Graft was placed to obliterate the space between the vagina and bladder. The patient achieved urinary continence post-surgery. The video demonstrates the benefits of the robotic assisted laparoscopic approach with excellent visualization, tissue dissection, and minimal blood loss. The website www.ottobock.com is credited at the end.

Meta Tag

Category surgical video

Category robotic

Category fistula-vesicovaginal

Category surgery

Category Minimally Invasive Procedures

Category fistula

Category PFD Week 2013

Category laparoscopic

Session 182175

Keywords

robotic assisted laparoscopic repair

vesicovaginal fistula

bladder injury

abdominal hysterectomy

transvaginal repair