medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2013, Number 10

<< Back Next >>

Ginecol Obstet Mex 2013; 81 (10)

VVF: laparoscopic versus open surgical abdominal

Montoya-Martínez G, Ledesma-Rodríguez AG, Serrano-Brambila E, Moreno-Palacios J

Language: Spanish
References: 17
Page: 587-592
PDF size: 219.97 Kb.


ABSTRACT

Background: Vesico vaginal fistula is the most common acquired fistula of the urinary tract that originates from an abnormal communication between the bladder and vagina, its main manifestation is transvaginal urine output and significantly affects the quality of life of women suffer.
Objective: To compare the success and complications of open abdominal versus laparoscopic surgical treatment of patients with vesicovaginal fistula (VVF).
Material and methods: A retrospective, observational, comparative study of patients with a diagnosis of VVF. We included patients with a diagnosis of VVF with full clinical documentation and at least one evaluation after 3 months of surgery. All patients underwent surgical closure type O’Conor and grouped into two groups: Group I: Open abdominal and group II: Laparoscopic. Age, body mass index (BMI), size, location of the fistula, surgical time, intraoperative bleeding, and length of hospital stay were compared.
Results: Twenty seven patients with a diagnosis of VVF were evaluated. Eighteen patients had open abdominal surgery (group I) and 9 laparoscopic (group II). The average age was 42.8 vs 41.4 years, the average size of the VVF was 0.9 vs 1.3 cm, the success rate was 94.4 vs 77%, p › 0.05, for group I and II respectively. There were differences in favor of group II with respect to days of using transurethral catheter, days of hospitalization and postoperative bleeding, p ‹ 0.05.
Conclusions: In our experience we believe that the laparoscopic approach is an excellent alternative to traditional abdominal approach, although it requires experience in laparoscopic pelvic surgery.


REFERENCES

  1. Rafique Ahmed Sahito, Muhammad Ali Suhail Memon, Farhana Shaikh. Per Abdominal repair of vesico-vaginal fistula surgical experience of 30 cases. MC 2012;18:87-90.

  2. Rovner E. Urinary tract fistula. In: Walsh P, Retik A, Stamey T, Vatighan D, editors. Campbell Urología. México: Panamericana, 2007;2322-2359.

  3. Qi Zhang, Zaiyuan Ye, Feng Liu, Xiaolong Qi, Changming Shao, Xiang He, Dahong Zhang. Laparoscopic transabdominal transvesical repair of supratrigonal vesicovaginal fistula. Int Urogynecol J 2013; 24:337-342.

  4. Sánchez L, Mendoza E, Ceballos E. Fístula vesicovaginal. Experiencia del servicio de Urología del Hospital de Especialidades del Centro Médico La Raza. Bol Coleg Mex Urol 2002;17:193-196.

  5. Díaz C, Viveros C, Lugo J, Moreno R, De la Cruz J. Experiencia del servicio de Urología del Hospital Juárez de México en el manejo de la fístula vesicovaginal. Rev Mex Urol 2006;66:109-115.

  6. Nesrallah L, Srougi M. The O’Connor technique: the gold standar for supratrigonal vesico-vaginal fistula repair. J Urol 1999;161:566-568.

  7. Sotelo R, Mirandolino M, García-Segui A. Laparoscopic repair of vesicovaginal fistula. J Urol 2005;173:1615-1618.

  8. Sotelo R, Moros V, Clavijo R, Poulakis V. Surgery Illustrated. Surgical Atlas, Robotic repair of vesicovaginal fistula. BJU International 2012;109:1416-1434.

  9. Stanford E, Romanzi L. Vesicovaginal fistula: what is the preferred closure technique? Int Urogynecol J 2012;23:383-385.

  10. Nabi J, Hemal AK. Laparoscopic repair of vesicovaginal fistula and right nephrectomy for nonfunctioning kidney in a single session. J End 2001;15:801-803.

  11. Melamud O, Eichel L, Turbow B. Laparoscopic vesicovaginal fistula repair with robotic reconstruction. Urology 2005;65:163-166.

  12. Hemal A, Kolla S. Wadhwa P. Robotic Reconstruction for Recurrent Supratrigonal Vesicovaginal Fistulas. J Urol 2008;180:981-985.

  13. O’Connor V. Review of experience with vesicovaginal fistula repair. J Urol 1980;123:367-369.

  14. Eilber KC, Kavaler E, Rodriguez LV, Rosenblum N, Raz S. Ten year experience with vesicovaginal fistula repair using tissue interposition. J Urol 1998;160:728-730.

  15. Navarro F, García M, Castro M. Treatment approach for vesicogenital fistula. restrospective analysis of our data. Actas Urol Esp 2003;530-537.

  16. Leng W, Amundsen C, McGuire E. Management of female genitourinary fistulas: transvesical or transvaginal approach? J Urol 1998;160:1995-1999.

  17. Simforoosh N, Soltani MH, Lashay A, Ojand A, et al. Laparoscopic Vesicovaginal Fistula Repair: Report of five cases, literature review and pool analysis. Journal of Laparoendoscopic & Advanced Surgical Techniques 2012; 22:871-875.




2020     |     www.medigraphic.com