Laparoscopic repair of vesicovaginal fistula.

Kim, Bo Youn; Yang, Jung Bo; Lee, Min A; Ko, Young Bok; Lee, Ki Hwan

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(2):278-284.
Published online February 1, 2009.

Laparoscopic repair of vesicovaginal fistula.

Bo Youn Kim, Jung Bo Yang, Min A Lee, Young Bok Ko, Ki Hwan Lee

Department of Obstetrics and Gynecology, College of Medicine, Chungnam National University, Daejeon, Korea. oldfox@cnuh.co.kr

Abstract

Vesicovaginal fistula (VVF) is one of the most serious surgical complication in gynecologic surgery. Surgical approach to repair this condition can be performed by transvaginal or transabdominal. However, laparoscopic repair of VVF may be an alternative surgical method. We present four cases of VVF treated with transperitoneal laparoscopic technique. Laparoscopic repair is a feasible, safe and efficacious minimally invasive approach for the management of VVF. We believe that this method provides excellent results and may result in lower morbidity, shorter hospital stay, and quicker recovery than the abdominal or transvaginal approaches.

Key Words: Vesicovaginal fistula, Laparoscopy, Hysterectomy