John R Miklos1, Robert D Moore. 1. International Urogynecology Associates, Atlanta Urogynecology Associates, 3400 Old Milton Parkway Suite C330, Alpharetta, GA, 30005, USA, johnrmiklos@yahoo.com.
Abstract
INTRODUCTION AND HYPOTHESIS: The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy. METHODS: 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. RESULTS: A 98% success rate is reported. CONCLUSION: This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.
INTRODUCTION AND HYPOTHESIS: The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy. METHODS: 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. RESULTS: A 98% success rate is reported. CONCLUSION: This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.
Authors: Jan Schmolders; Sebastian Koob; Paul Schepers; Michael Kehrer; Sönke Percy Frey; Dieter Christian Wirtz; Peter Heinrich Pennekamp; Andreas Christian Strauss Journal: Int Orthop Date: 2016-11-09 Impact factor: 3.075