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Laparoscopic repair of urogenital fistulae: A single centre experience
CONTEXT: Sparse literature exists on laparoscopic repair of urogenital fistulae (UGF). AIMS: The purpose of the following study is to report our experience of laparoscopic UGF repair with emphasis on important steps for a successful laparoscopic repair. SETTINGS AND DESIGN: Data of patients who unde...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204260/ https://www.ncbi.nlm.nih.gov/pubmed/25336817 http://dx.doi.org/10.4103/0972-9941.141508 |
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author | Sharma, Sumit Rizvi, Syed Jamal Bethur, Santhosh Shivanandaiah Bansal, Jyoti Qadri, Syed Javid Farooq Modi, Pranjal |
author_facet | Sharma, Sumit Rizvi, Syed Jamal Bethur, Santhosh Shivanandaiah Bansal, Jyoti Qadri, Syed Javid Farooq Modi, Pranjal |
author_sort | Sharma, Sumit |
collection | PubMed |
description | CONTEXT: Sparse literature exists on laparoscopic repair of urogenital fistulae (UGF). AIMS: The purpose of the following study is to report our experience of laparoscopic UGF repair with emphasis on important steps for a successful laparoscopic repair. SETTINGS AND DESIGN: Data of patients who underwent laparoscopic repair of UGF from 2003 to 2012 was retrospectively reviewed. MATERIALS AND METHODS: Data was reviewed as to the aetiology, prior failed attempts, size, number and location of fistula, mean operative time, blood loss, post-operative storage/voiding symptoms and episodes of urinary tract infections (UTI). RESULTS: Laparoscopic repair of 22 supratrigonal vesicovaginal fistulae (VVF) (five recurrent) and 31 ureterovaginal fistulae (UVF) was performed. VVF followed transabdominal hysterectomy (14), lower segment caesarean section (LSCS) (7) and oophrectomy (1). UVF followed laparoscopy assisted vaginal hysterectomy (18), transvaginal hysterectomy (2) and transabdominal hysterectomy (10) and LSCS (1). Mean VVF size was 14 mm. Mean operative time and blood loss for VVF and UVF were 140 min, 75 ml and 130 min, 60 ml respectively. In 20 VVF repairs tissue was interposed between non-overlapping suture lines. Vesico-psoas hitch was done in 29 patients of urterovaginal fistulae. All patients were continent following surgery. There were no urinary complaints in VVF patients and no UTI in UVF patients over a median follow-up of 3.2 years and 2.8 years respectively. CONCLUSION: Laparoscopic repair of UGF gives easy, quick access to the pelvic cavity. Interposition of tissue during VVF repair and vesico-psoas hitch during UVF repair form important steps to ensure successful repair. |
format | Online Article Text |
id | pubmed-4204260 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-42042602014-10-21 Laparoscopic repair of urogenital fistulae: A single centre experience Sharma, Sumit Rizvi, Syed Jamal Bethur, Santhosh Shivanandaiah Bansal, Jyoti Qadri, Syed Javid Farooq Modi, Pranjal J Minim Access Surg Original Article CONTEXT: Sparse literature exists on laparoscopic repair of urogenital fistulae (UGF). AIMS: The purpose of the following study is to report our experience of laparoscopic UGF repair with emphasis on important steps for a successful laparoscopic repair. SETTINGS AND DESIGN: Data of patients who underwent laparoscopic repair of UGF from 2003 to 2012 was retrospectively reviewed. MATERIALS AND METHODS: Data was reviewed as to the aetiology, prior failed attempts, size, number and location of fistula, mean operative time, blood loss, post-operative storage/voiding symptoms and episodes of urinary tract infections (UTI). RESULTS: Laparoscopic repair of 22 supratrigonal vesicovaginal fistulae (VVF) (five recurrent) and 31 ureterovaginal fistulae (UVF) was performed. VVF followed transabdominal hysterectomy (14), lower segment caesarean section (LSCS) (7) and oophrectomy (1). UVF followed laparoscopy assisted vaginal hysterectomy (18), transvaginal hysterectomy (2) and transabdominal hysterectomy (10) and LSCS (1). Mean VVF size was 14 mm. Mean operative time and blood loss for VVF and UVF were 140 min, 75 ml and 130 min, 60 ml respectively. In 20 VVF repairs tissue was interposed between non-overlapping suture lines. Vesico-psoas hitch was done in 29 patients of urterovaginal fistulae. All patients were continent following surgery. There were no urinary complaints in VVF patients and no UTI in UVF patients over a median follow-up of 3.2 years and 2.8 years respectively. CONCLUSION: Laparoscopic repair of UGF gives easy, quick access to the pelvic cavity. Interposition of tissue during VVF repair and vesico-psoas hitch during UVF repair form important steps to ensure successful repair. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4204260/ /pubmed/25336817 http://dx.doi.org/10.4103/0972-9941.141508 Text en Copyright: © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Sharma, Sumit Rizvi, Syed Jamal Bethur, Santhosh Shivanandaiah Bansal, Jyoti Qadri, Syed Javid Farooq Modi, Pranjal Laparoscopic repair of urogenital fistulae: A single centre experience |
title | Laparoscopic repair of urogenital fistulae: A single centre experience |
title_full | Laparoscopic repair of urogenital fistulae: A single centre experience |
title_fullStr | Laparoscopic repair of urogenital fistulae: A single centre experience |
title_full_unstemmed | Laparoscopic repair of urogenital fistulae: A single centre experience |
title_short | Laparoscopic repair of urogenital fistulae: A single centre experience |
title_sort | laparoscopic repair of urogenital fistulae: a single centre experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204260/ https://www.ncbi.nlm.nih.gov/pubmed/25336817 http://dx.doi.org/10.4103/0972-9941.141508 |
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