Laparoscopic repair of vesicovaginal fistula (8 cases report)
Gong Daojing1,2, Dong Ziqiang1,2
1Department of Urology, the First College of Clinical Medical Science, China Three Gorges University, Yichang 443003, China; 2Institute of Urology, China Three Gorges University
Abstract：Objective: To explore the application of laparoscopic technique in the repair of vesicovaginal fistula. Methods: Eight patients with vesicovaginal fistula in our hospital were reviewed from July 2013 to January 2016. All patients underwent laparoscopic repair operation, and the surgical methods were summarized. The operative time, surgical blood loss, and hospital stay were recorded. All of the patients were followed up for 6 to 12 months. Results: The operative procedures for all 8 patients were successful, without any requirement for open surgery. Surgical time was 84-130 (mean: 102) min, the operative blood loss was 30-80 (mean: 52) mL, the postoperative stay was 6-10 (mean: 7.8) days. During the follow up of 6-12 (mean: 8.6) months, no recurrence was found. Conclusions: Laparoscopic repair of vesicovaginal fistula is an effective and feasible surgery with less blood loss and less surgery damage and shorter recovery time.
[1] 李鸿宾,徐月敏,金三宝,等.经腹径路手术治疗膀胱阴道瘘的临床分析.临床泌尿外科杂志,2012,27(4):282-284. [2] Blaivas JG, Heritz DM, Romanzi LJ.Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol, 1995,153(4):1110-1113. [3] Nezhat CH, Nezhat F, Nezhat C, et al.Laparoscopic repair of a vesicovaginal fistula: a case report. Obstet Gynecol, 1994,83(5 Pt 2):899-901. [4] Simforoosh N, Soltani MH, Lashay A, et al.Laparoscopic vesicovaginal fistula repair: report of five cases, literature review, and pooling analysis. J Laparoendosc Adv Surg Tech A, 2012, 22(9):871-875. [5] Shah SJ.Laparoscopic transabdominal transvesical vesicovaginal fistula repair. J Endourol, 2009,23(7):1135-1137. [6] 茅夏娃,张大宏,刘锋,等.腹腔镜下大网膜移位修补膀胱阴道瘘16例报告.中华泌尿外科杂志,2012,33(8):611-613. [7] 吴绍山,周林玉,谈宜傲,等.腹腔镜下膀胱阴道瘘修补术临床分析.中国临床保健杂志,2013,16(1):63-64. [8] 傅龙龙,宋小芬,傅斌,等.腹腔镜膀胱阴道瘘修补术.中国内镜杂志,2014,20(5):555-557. [9] Rizvi SJ, Gupta R, Patel S, et al.Modified laparoscopic abdominal vesico-vaginal fistula repair--"Mini-O'Conor" vesicotomy. J Laparoendosc Adv Surg Tech A, 2010,20(1):13-15. [10] Miklos JR, Moore RD.Laparoscopic extravesical vesicovaginal fistula repair: our technique and 15-year experience. Int Urogynecol J, 2015,26(3):441-446. [11] Goezen AS, Arslan M, Schulze MA.Comparison of laparoscopic closure of the bladder with barbed polyglyconate versus polyglactin suture material in the pig bladder model: an experimental in vitro study. J Endourol, 2012,26(6):732-736.
