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PFD Week 2018
Robot Assisted Vesicovaginal Fistula Repair via Tr ...
Robot Assisted Vesicovaginal Fistula Repair via Transvesical Approach
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Video Transcription
Video Summary
In this video, a 53-year-old woman with a vesicovaginal fistula following a hysterectomy and multiple previous repairs undergoes a robotic transvesical vesicovaginal fistula repair. The procedure involves the placement of double J ureteral stents, dissection of the space of retzius to improve bladder mobility, and making a cystotomy at the dome of the bladder. The fistula site is identified and mobilized, and the different tissue layers are closed using sutures. The ureters are observed for spillage, and the cystotomy is closed. Four weeks later, there is no recurrence of fistula, and at six weeks, the patient has a healed bladder without leakage. A three-layer closure and robot-assisted transvesical approach are recommended for vesicovaginal fistula repair. No credits for the video are provided.
Asset Subtitle
Erik D Hokenstad, MD
Meta Tag
Category
Complications
Category
Surgery - Robotic Procedures
Keywords
vesicovaginal fistula repair
robotic transvesical approach
hysterectomy
double J ureteral stents
bladder mobility
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