PFD Week 2017-Sigmoid Epiploica Interposition During Robotic Vesicovaginal Fistula Repair

Sigmoid Epiploica Interposition During Robotic Vesicovaginal Fistula Repair

Video Transcription

Video Summary

In this video, the authors demonstrate the use of sigmoid epiploica tissue interposition during robot-assisted laparoscopic vesicovaginal fistula repair. They describe the procedure and its benefits, such as promoting healing and reducing recurrence rates. The video shows a surgical case of a 67-year-old female with a vesicovaginal fistula after previous treatments failed. The procedure involves mobilizing the vagina from the bladder, excising the fistula edges, closing the vagina and bladder, and interposing sigmoid epiploica tissue to create a buttress. The authors conclude that this technique is safe and feasible, especially for patients who have undergone omentectomy or radical hysterectomy. No financial disclosures are mentioned.

Asset Subtitle

Derrick Sanderson, MD

Meta Tag

Concept Epiploica

Concept Vesicovaginal Fistula

Concept Tissue Interposition

Concept Vaginal Fistula Tract Excision

Concept Layered Closure

Keywords

sigmoid epiploica tissue interposition

robot-assisted laparoscopic vesicovaginal fistula repair

healing promotion