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Robotic Repair of Urinary Fistulae

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Robotics in Genitourinary Surgery

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Abstract

This chapter provides a brief overview of the various types of urinary tract fistulas including vesicovaginal, ureterovaginal, vesicouterine, and vesicoenteric fistulas. The robotic assisted laparoscopic approach has recently been utilized for many urinary tract fistulas, after demonstration of safety, efficacy, and expeditious convalescence.

This chapter emphasizes safety, efficiency, and economy for robotic repair. Adherence to the principles of fistula repair is key. Principles include adequate separation of organs, non-overlapping suture lines, multiple layer closure, tension free anastomosis, adequate hemostasis, well-vascularized healthy tissues, watertight closure, use of a vascular interposition flap, and adequate postoperative drainage.

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Author information

Authors and Affiliations

  1. Mount Sinai Medical Center, Miami Beach, FL, USA

    Joan C. Delto & Akshay Bhandari

  2. Department of Urology, Comprehensive Cancer Center, Wake Forest Institute for Regenerative Medicine, Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Ashok K. Hemal

Authors
  1. Joan C. Delto
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  2. Ashok K. Hemal
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  3. Akshay Bhandari
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Corresponding author

Correspondence to Akshay Bhandari .

Editor information

Editors and Affiliations

  1. Department of Urology Comprehensive Cancer Center Wake Forest Institute for Regenerative Medicine Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Ashok K. Hemal

  2. Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA

    Mani Menon

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Delto, J.C., Hemal, A.K., Bhandari, A. (2018). Robotic Repair of Urinary Fistulae. In: Hemal, A., Menon, M. (eds) Robotics in Genitourinary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20645-5_65

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  • DOI: https://doi.org/10.1007/978-3-319-20645-5_65

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20644-8

  • Online ISBN: 978-3-319-20645-5

  • eBook Packages: MedicineMedicine (R0)

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