Our experience of laparoscopic vesicovaginal fistula repair in a tertiary care center.

IF 0.7 Q4 UROLOGY & NEPHROLOGY Urology Annals Pub Date : 2024-10-01 Epub Date: 2024-10-16 DOI:10.4103/ua.ua_65_23
Ahsan Ahmad, Khalid Mahmood, Nikhil Ranjan, Md Zaid Imbisat, Rajesh Kumar Tiwari
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Abstract

Objective: Laparoscopic repair of vesicovaginal fistula (VVF) is gaining popularity day by day, but we have limited literature on it. This study is to evaluate the safety, feasibility, and outcomes of laparoscopic VVF repair in a tertiary care center in Eastern India.

Subjects and methods: This study is a single-center retrospective study in which 11 patients of supratrigonal VVF were evaluated who underwent laparoscopic repair. Preoperative workup included history, examination, computed tomography urography, cystoscopy, and vaginoscopy. After informed consent, laparoscopic VVF repair was done under general anesthesia. Duration of surgery, the need for conversion to open procedure, intraoperative bowel injury, the need for postoperative blood transfusion, postoperative hospital stay, postoperative urinary leak, and any incontinence after catheter removal were noted.

Results: All the patients had primary supratrigonal fistula of approximate size in the range of 1.5-2.0 cm. All the included patients were operated on successfully by laparoscopic technique with a mean duration of surgery of 177.91 ± 6.14 min. The mean duration of postoperative hospital stay was 4.45 ± 0.52 days. There was no incidence of postoperative urine leak in any patient. After urethral catheter removal, all the patients voided well without any incontinence.

Conclusions: Laparoscopic VVF repair is a safe and feasible option with satisfactory intraoperative and postoperative outcomes.

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我们在一家三级医疗中心进行腹腔镜膀胱阴道瘘修补术的经验。
目的:腹腔镜下膀胱阴道瘘(VVF)修复术日渐流行,但相关文献却很有限。本研究旨在评估印度东部一家三级医疗中心的腹腔镜膀胱阴道瘘修补术的安全性、可行性和效果:本研究是一项单中心回顾性研究,共评估了 11 名接受腹腔镜修复术的三叉神经上VVF患者。术前检查包括病史、体格检查、计算机断层扫描尿路造影术、膀胱镜检查和阴道镜检查。知情同意后,在全身麻醉下进行腹腔镜 VVF 修复术。手术时间、是否需要转为开腹手术、术中肠道损伤、术后是否需要输血、术后住院时间、术后漏尿、拔除导尿管后是否出现尿失禁等情况均被记录在案:所有患者都患有原发性上肛瘘,大小约为 1.5-2.0 厘米。所有患者均成功接受了腹腔镜手术,平均手术时间为(177.91 ± 6.14)分钟。术后平均住院时间为(4.45±0.52)天。所有患者均未发生术后漏尿。拔除尿道导管后,所有患者均排尿顺畅,无任何尿失禁现象:腹腔镜 VVF 修复术是一种安全可行的选择,术中和术后效果令人满意。
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来源期刊
Urology Annals
Urology Annals UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
59
审稿时长
31 weeks
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