E-ISSN 2587-0610

Quick Search




Laparoscopic Endoscopic Surgical Science Robotic repair of complicated vesico (-utero)/cervico-vaginal fistula after caesarean section [Laparosc Endosc Surg Sci ]
Laparosc Endosc Surg Sci . 2019; 26(2): 73-77 | DOI: 10.14744/less.2019.90377

Robotic repair of complicated vesico (-utero)/cervico-vaginal fistula after caesarean section

Pengfei Wang1, Michael Mesbah1, George Lazarou2, Matthew Wells1, Farr Nezhat1
1Division of Minimally Invasive Gynecologic Surgery and Robotics, Obstetrics and Gynecology Department, NYU-Winthrop Hospital, Mineola, New York, United States
2Division of Urogynecology, Obstetrics and Gynecology Department, NYU-Winthrop Hospital, Mineola, New York, United States

In developed countries, urogenital fistula primarily occurs after gynecological surgeries, but rarely, it may be seen as a result of obstetric complications. The primary treatment of a urogenital fistula is either transvaginal or transabdominal surgical repair. Presently described is the case of a 36-year-old woman (G3P3003) who developed a complicated large vesico-(utero)/cervico-vaginal fistula after an emergent repeat caesarean section. Robotic repair was performed 2 months after the injury using a modified O’Connor method. Blood loss was minimal and the patient was only in the hospital for 1 day postoperatively. Follow-up showed complete healing of the fistula with no urine leakage, frequency or dyspareunia, and a normal menstrual period up to one year. This case demonstrates that robotic surgery can be effective in the management of complicated urogenital fistula repair.

Keywords: Cesarean section, robotic surgery; urogenital fistula.

Pengfei Wang, Michael Mesbah, George Lazarou, Matthew Wells, Farr Nezhat. Robotic repair of complicated vesico (-utero)/cervico-vaginal fistula after caesarean section. Laparosc Endosc Surg Sci . 2019; 26(2): 73-77

Corresponding Author: Farr Nezhat, United States
LookUs & Online Makale