PFD Week 2016-A Novel Technique of Laparoscopic Vesical Vaginal Fistula Repair: Not an O'Connor Modification

A Novel Technique of Laparoscopic Vesical Vaginal Fistula Repair: Not an O'Connor Modification

Video Transcription

Video Summary

The video discusses the laparoscopic repair technique for vesicovaginal fistula (VVF). The procedure involves identifying the fistula tract through cystoscopy and inserting a stent for easier identification. Laparoscopy is performed to visualize the pelvis, followed by dissection at the vesicovaginal junction. The fistula tract is excised and the bladder and vaginal defects are closed separately. The closure is done in layers using absorbable sutures, ensuring watertightness. An omental flap can be created if needed. Postoperatively, suprapubic catheter drainage is maintained to facilitate healing. The technique has shown successful outcomes in an outpatient setting at the Atlanta Center of Laparoscopic Urogynecology. (No credits mentioned)

Asset Subtitle

John Miklos, MD

Keywords

laparoscopic repair technique

vesicovaginal fistula

cystoscopy

bladder and vaginal defects

outpatient setting