2013 Annual Meeting-Surgical Steps to Facilitate Closure of Simple and Complex Vesicovaginal Fistulas

Surgical Steps to Facilitate Closure of Simple and Complex Vesicovaginal Fistulas - Video

Video Transcription

Video Summary

The video demonstrates transvaginal closure techniques for simple and complex vesicovaginal fistulas. Key steps include identifying the location of the fistula in the bladder and vagina, mobilizing the underlying tissues, excising unhealthy tissue, and closing the fistula in layers. The importance of entering the peritoneum for mobilization and utilizing a vascular pedicle is highlighted. Two cases are shown, one with a failed LATSCO procedure and another with a fistula caused by an injury during anterior colporaphy with pelvicole. Successful closure is achieved in both cases with minimal distortion of the trigone. Excision of foreign material prior to closure is emphasized to prevent recurrence.

Meta Tag

Category surgical video

Category fistula-vesicovaginal

Category surgery

Category fistula

Category PFD Week 2013

Session 182176

Keywords

transvaginal closure techniques

vesicovaginal fistulas

bladder and vagina

mobilizing tissues

fistula closure