2013 Annual Meeting-Robotic Assisted Laparoscopic Vesicovaginal Fistula Repair with Omental Interposition

Robotic Assisted Laparoscopic Vesicovaginal Fistula Repair with Omental Interposition - Video

Video Transcription

Video Summary

This video demonstrates a robotic assisted laparoscopic vesicovaginal fistula repair with omental interposition. The surgery begins with cystoscopies and placement of temporary ureral stents. Sharp dissections are used to separate the bladder from the vagina, which can be scarred due to previous repair attempts or inflammation. The fistula is located and further dissection is performed to free up the bladder opening. The bladder opening is closed using visceral sutures, and the vaginal opening is closed perpendicular to prevent overlapping suture lines. The omentum is then interposed between the bladder and vagina. Robotic technology allows for precise dissection and successful fistula repair. The procedure was performed on three patients, who all have no further issues or need for intervention. The video does not provide any credits.

Meta Tag

Category surgical video

Category fistula-vesicovaginal

Category surgery

Category Minimally Invasive Procedures

Category fistula

Category PFD Week 2013

Session 182183

Keywords

robotic assisted laparoscopic vesicovaginal fistula repair

omental interposition

cystoscopies

ureral stents

bladder-vagina separation