Robotic-assisted laparoscopic repair of a vesicouterine fistula

As cesarean sections become a more common mode of delivery, they have become the most likely cause of vesicouterine fistula formation. The associated pathology with repeat cesarean deliveries may make repair of these fistulas difficult. Computer-enhanced telesurgery, also known as robotic-assisted s...

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Bibliographic Details
Published in:Journal of the Society of Laparoendoscopic Surgeons 2011-07, Vol.15 (3), p.339-342
Main Authors: Chang-Jackson, Shao-Chun R, Acholonu, Jr, Uchenna C, Nezhat, Farr R
Format: Article
Language:English
Subjects:
Adult
Case Reports
Cesarean Section, Repeat - adverse effects
Cystoscopy
Female
Fistula - etiology
Fistula - surgery
Humans
Hysteroscopy
Laparoscopy - methods
Postoperative Complications - surgery
Robotics
Urinary Fistula - etiology
Urinary Fistula - surgery
Uterine Diseases - etiology
Uterine Diseases - surgery
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Summary:As cesarean sections become a more common mode of delivery, they have become the most likely cause of vesicouterine fistula formation. The associated pathology with repeat cesarean deliveries may make repair of these fistulas difficult. Computer-enhanced telesurgery, also known as robotic-assisted surgery, offers a 3-dimensional view of the operative field and allows for intricate movements necessary for complex suturing and dissection. These qualities are advantageous in vesicouterine fistula repair. A healthy 34-year-old woman who underwent 4 cesarean deliveries presented with a persistent vesicouterine fistula. Conservative management with bladder decompression and amenorrhea-inducing agents failed. Robotic-assisted laparoscopic repair was successfully performed with the patient maintaining continence after surgery. Robotic-assisted laparoscopic repair of vesicouterine fistulas offers a minimally invasive approach to treatment of a complex disease process.
ISSN:1086-8089
1938-3797
DOI:10.4293/108680811X13071180407438