2013 Annual Meeting-Vesicovaginal Fistula Repair - Robotic Assisted Approach

Vesicovaginal Fistula Repair - Robotic Assisted Approach - Video

Video Transcription

Video Summary

In this video, Dr. Shakiba and Dr. Petrikovits demonstrate a robotic approach to repair vesicovaginal fistula (VVF). They highlight the initial injury leading to VVF, which occurred due to poor exposure of the pubocervical fascia and an incorrect assessment of anatomical boundaries during a laparoscopic hysterectomy. The patient, a 47-year-old woman with a history of previous surgeries, presented with urine leakage from her vagina after the operation. The surgeons performed vaginoscopy and cannulization to identify the fistula tract, followed by mobilization of surrounding tissue and closure of the cystotomy and colpotomy layers. The procedure was successful, and the patient remained asymptomatic one year later.

Meta Tag

Category surgical video

Category fistula-vesicovaginal

Category surgery

Category Minimally Invasive Procedures

Category fistula

Category PFD Week 2013

Session 182181

Keywords

robotic approach

vesicovaginal fistula

laparoscopic hysterectomy

urine leakage

vaginoscopy