Intravesical mini-laparoscopic repair of vesicovaginal fistulas
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Scholar |
Otros documentos de la autoría: Llueca, Antoni; Herraiz Roda, José Luis; Rodrigo, Miguel; Mazzouzi, Yasmin; Piquer Simó, Dolors; Guijarro Colomer, M.; Cañete, Arhoa; Escrig-Sos, Javier
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Mostrar el registro completo del ítemcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/36080
comunitat-uji-handle3:10234/36082
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http://dx.doi.org/10.1007/s10397-015-0913-5 |
Metadatos
Título
Intravesical mini-laparoscopic repair of vesicovaginal fistulasAutoría
Fecha de publicación
2015Editor
Springer VerlagISSN
1613-2076; 1613-2084Cita bibliográfica
Llueca, A., Herraiz, J.L., Rodrigo, M. et al. Gynecol Surg (2015) 12: 323. doi:10.1007/s10397-015-0913-5Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
http://link.springer.com/article/10.1007/s10397-015-0913-5Palabras clave / Materias
Resumen
Vesicovaginal fistulas (VVF) constitute the most
common type of genitourinary fistulas. In developed countries,
VVF are almost always iatrogenic and frequently a secondary
result of gynecological surgery. Some ... [+]
Vesicovaginal fistulas (VVF) constitute the most
common type of genitourinary fistulas. In developed countries,
VVF are almost always iatrogenic and frequently a secondary
result of gynecological surgery. Some minimally invasive
techniques have been introduced to decrease the morbidity
related to standard open procedures for the treatment of
VVF. One such procedure is the intravesical minilaparoscopic
approach. The aim of this study was to present
our initial clinical experience using this technique for
transvesical VVF repair. In 2013 and 2014, we carried out
mini-laparoscopic repair of VVF in two women who did not
respond to conservative treatment with a Foley catheter. The
procedure was performed transvesically with a 3-mm instrument
and a 5-mm, 30° scope. The fistulous tract was dissected
and partially excised. The bladder and vaginal wall defects
were closed in two layers with two separated continuous
barbed, resorbable 3-0 sutures (V-Loc 90 Absorbable Wound
Closure Device; Covidien, Norwalk, CT, USA). The median
operative time for the two patients was approximately
100 min, and the blood loss was not clinically significant.
The patients were released from the hospital 24 h after surgery.
A Foley catheter was left in place for 14 days. Imaging examinations
performed 6 weeks postoperatively revealed no VVF.
In patients with simple fistulas, this technique provides a minimally
invasive, easily reproducible approach with few associated
complications. Nevertheless, further experience and observations
are necessary. [-]
Publicado en
Gynecol Surg (2015) 12:323–326Derechos de acceso
© Springer-Verlag Berlin Heidelberg 2015
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