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Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience

INTRODUCTION: The objective of the study is to evaluate the outcome of robot-assisted laparoscopic repair of injuries to urinary tract following gynecological surgery and obstetric injury. METHODS: This retrospective analysis from prospectively collected data of repair of injuries to bladder and ure...

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Autores principales: Kumar, Suresh, Modi, Pranjal, Mishra, Amit, Patel, Dhruv, Chandora, Rohitas, Handa, Rishabh, Chauhan, Rohit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525486/
https://www.ncbi.nlm.nih.gov/pubmed/34759654
http://dx.doi.org/10.4103/UA.UA_69_20
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author Kumar, Suresh
Modi, Pranjal
Mishra, Amit
Patel, Dhruv
Chandora, Rohitas
Handa, Rishabh
Chauhan, Rohit
author_facet Kumar, Suresh
Modi, Pranjal
Mishra, Amit
Patel, Dhruv
Chandora, Rohitas
Handa, Rishabh
Chauhan, Rohit
author_sort Kumar, Suresh
collection PubMed
description INTRODUCTION: The objective of the study is to evaluate the outcome of robot-assisted laparoscopic repair of injuries to urinary tract following gynecological surgery and obstetric injury. METHODS: This retrospective analysis from prospectively collected data of repair of injuries to bladder and ureter using da Vinci Si robotic platform was carried out. Between April 2014 and May 2019, 27 patients were operated on in a single surgical unit; 25 had hysterectomy and 2 were obstetric cases. Fifteen patients underwent vesicovaginal fistula (VVF) repair, ten underwent ureteral reimplant, with concomitant psoas hitch, and two underwent Boari flap repair following gynecological surgery and obstetric injury. RESULTS: Among 15 patients of VVF repair, 3 cases were previously attempted failed repair, 2 underwent concomitant ureteral reimplant, and 1 underwent concomitant ovarian cystectomy. The mean total operative time was 126 (75–206) min, and the mean hospital stay was 4.4 (3–6) days. Among 12 cases of ureteral injury, 5 were on the right side and 7 were on the left side; the mean total operative time was 150.16 (110–215) min, and the mean hospital stay was 4 (3–7) days. No case required conversion to open in this cohort. All cases were successfully cured without any recurrence of fistula or stricture during their mean follow-up period of 35.3 (9–66) months. CONCLUSIONS: Robot-assisted laparoscopic repair for injuries to bladder and ureter is effective and highly successful even in previously failed cases.
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spelling pubmed-85254862021-11-09 Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience Kumar, Suresh Modi, Pranjal Mishra, Amit Patel, Dhruv Chandora, Rohitas Handa, Rishabh Chauhan, Rohit Urol Ann Original Article INTRODUCTION: The objective of the study is to evaluate the outcome of robot-assisted laparoscopic repair of injuries to urinary tract following gynecological surgery and obstetric injury. METHODS: This retrospective analysis from prospectively collected data of repair of injuries to bladder and ureter using da Vinci Si robotic platform was carried out. Between April 2014 and May 2019, 27 patients were operated on in a single surgical unit; 25 had hysterectomy and 2 were obstetric cases. Fifteen patients underwent vesicovaginal fistula (VVF) repair, ten underwent ureteral reimplant, with concomitant psoas hitch, and two underwent Boari flap repair following gynecological surgery and obstetric injury. RESULTS: Among 15 patients of VVF repair, 3 cases were previously attempted failed repair, 2 underwent concomitant ureteral reimplant, and 1 underwent concomitant ovarian cystectomy. The mean total operative time was 126 (75–206) min, and the mean hospital stay was 4.4 (3–6) days. Among 12 cases of ureteral injury, 5 were on the right side and 7 were on the left side; the mean total operative time was 150.16 (110–215) min, and the mean hospital stay was 4 (3–7) days. No case required conversion to open in this cohort. All cases were successfully cured without any recurrence of fistula or stricture during their mean follow-up period of 35.3 (9–66) months. CONCLUSIONS: Robot-assisted laparoscopic repair for injuries to bladder and ureter is effective and highly successful even in previously failed cases. Wolters Kluwer - Medknow 2021 2021-06-23 /pmc/articles/PMC8525486/ /pubmed/34759654 http://dx.doi.org/10.4103/UA.UA_69_20 Text en Copyright: © 2021 Urology Annals https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kumar, Suresh
Modi, Pranjal
Mishra, Amit
Patel, Dhruv
Chandora, Rohitas
Handa, Rishabh
Chauhan, Rohit
Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience
title Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience
title_full Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience
title_fullStr Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience
title_full_unstemmed Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience
title_short Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience
title_sort robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: a single-center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525486/
https://www.ncbi.nlm.nih.gov/pubmed/34759654
http://dx.doi.org/10.4103/UA.UA_69_20
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