Introduction and hypothesis
The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy.
This video depicts a new surgical technique utilizing a laparoscopic transperitoneal extravesical approach without invasive bladder bivalving or an omental flap. This technique was first described in 1999 and has been utilized on >40 patients with either primary or recurrent vesicovaginal fistulas.
A 98% success rate is reported.
This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.
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Written informed consent was obtained from the patient for publication of this video article and any accompanying images.
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Miklos, J.R., Moore, R.D. Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique. Int Urogynecol J 26, 447–448 (2015) doi:10.1007/s00192-013-2292-7
- Vesicovaginal fistula
- Laparoscopic vesicovaginal fistula
- Bladder fistula
- Urogenital fistula
- Laparoscopic vesicovaginal fistula repair