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KMID : 0358420080510101210
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Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 10 p.1210 ~ p.1215
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Vesicovaginal fistula repaired by Laparoscopic surgery
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Kim Seung-Ryong
Kim Sung-Hee
Lee Su-Jin
Baek Min-Hyun
Cheon Sang-Hoon
Choi Hong-Yong
Lee Jung-Han
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Abstract
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Vesicovaginal fistula may be a complication of gynecologic and obstetric procedures, of which abdominal hysterectomy remains as the most common cause. Although there are a number of transvaginal or transabdominal surgical techniques for the correction of this condition, we performed a laparoscopic repair to reduce the morbidity of the transabdominal approach. A 44-year-old woman presented with urinary incontinence after undergoing Cesarean hysterectomy for uterine atony eight years ago. After confirming her vesicovaginal fistula, laparoscopic repair was performed. The bladder and vaginal walls were mobilized by meticulous dissection and repaired by intracorporeal stitches in 2 layers followed by omental interposition. Total operative time was 3 and half hours and estimated blood loss was about 400 ml. Foley catheter was removed at 23rd day after operation. Patient was discharged at 26th day after confirming the complete correction of the fistula by cystogram. Laparoscopic repair of a vesicovaginal fistula appears to be a safe and effective procedure. We report this case with a brief review of literature.
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KEYWORD
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Vesicovaginal fistula, Laparoscopic surgery
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