Laparoscopic repair of vesicovaginal fistula

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dc.contributor.authorOtsuka, Rodrigo Artur Pereira [UNESP]
dc.contributor.authorAmaro, João Luiz [UNESP]
dc.contributor.authorTanaka, Milton Tatsuo
dc.contributor.authorEpacagnan, Eduardo
dc.contributor.authorMendes Jr., José Barbosa
dc.contributor.authorKawano, Paulo Roberto [UNESP]
dc.contributor.authorFugita, Oscar Eduardo Hidetoshi [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionMaster Clinica de Cascavel
dc.date.accessioned2014-05-27T11:22:48Z
dc.date.available2014-05-27T11:22:48Z
dc.date.issued2008-03-01
dc.description.abstractPurpose: Vesicovaginal fistula (VVF) is one of the most devastating surgical complications that can occur in women. The primary cause remains an abdominal hysterectomy. Approach to this condition can be transvaginal or transabdominal. Laparoscopic repair of VVF may be an alternative approach to this treating rare condition. We present seven cases of VVF treated with transperitoneal laparoscopic technique and our results. Methods: We retrospectively reviewed the charts of 7 women ranging from 37 to 74 years in age (mean age 52.8 years) at our institution who underwent laparoscopic transperitoneal repair of VVF between February 2004 and March 2006. Etiology of the VVF, surgical technique, operative time, length of hospital stay, and complications were reviewed. Results: Six of the seven VVFs we repaired laparoscopically resulted from gynecologic procedures, and one patient presented with a VVF after a ureterolithotripsy. Mean operative time ranged from 130 to 420 minutes (mean 280 minutes), and mean hospital stay was 7 days. In one patient conversion to open surgery was necessary due to prolonged operative time. Two complications occurred a urinary tract infection in one patient and an inferior limb compartment syndrome in another. Conclusion: Transvaginal laparoscopic repair of VVF is feasible and safe and provides excellent results. It is a good alternative to the abdominal approach. However, advanced laparoscopic skills are mandatory. © 2008 Mary Ann Liebert, Inc.en
dc.description.affiliationFaculdade de Medicina de Botucatu Universidade Estadual Paulista, Botucatu
dc.description.affiliationMaster Clinica de Cascavel, Botucatu
dc.description.affiliation, Av. Indianopolis, 2244 Planalto Pautista, São Paulo, SP
dc.description.affiliationUnespFaculdade de Medicina de Botucatu Universidade Estadual Paulista, Botucatu
dc.format.extent525-527
dc.identifierhttp://dx.doi.org/10.1089/end.2006.9846
dc.identifier.citationJournal of Endourology, v. 22, n. 3, p. 525-527, 2008.
dc.identifier.doi10.1089/end.2006.9846
dc.identifier.file2-s2.0-41149126022.pdf
dc.identifier.issn0892-7790
dc.identifier.lattes9989857854355692
dc.identifier.orcid0000-0001-8411-5822
dc.identifier.scopus2-s2.0-41149126022
dc.identifier.urihttp://hdl.handle.net/11449/70319
dc.language.isoeng
dc.relation.ispartofJournal of Endourology
dc.relation.ispartofjcr2.038
dc.relation.ispartofsjr1,088
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectadult
dc.subjectaged
dc.subjectclinical article
dc.subjectcompartment syndrome
dc.subjectcystovaginal fistula
dc.subjectfemale
dc.subjectgynecologic surgery
dc.subjecthospitalization
dc.subjecthuman
dc.subjectlaparoscopic surgery
dc.subjectlithotripsy
dc.subjectpostoperative complication
dc.subjectpriority journal
dc.subjectretrospective study
dc.subjectsurgical technique
dc.subjecttransperitoneal laparoscopy
dc.subjecttreatment duration
dc.subjectureterolithotripsy
dc.subjecturinary tract infection
dc.subjectAdult
dc.subjectAged
dc.subjectFemale
dc.subjectHumans
dc.subjectLaparoscopy
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectTreatment Outcome
dc.subjectVesicovaginal Fistula
dc.titleLaparoscopic repair of vesicovaginal fistulaen
dc.typeArtigo
dcterms.licensehttp://www.liebertpub.com/archpolicy/journal-of-womens-health/42/
unesp.author.lattes9989857854355692[6]
unesp.author.orcid0000-0001-8411-5822[6]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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