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RESIDENT’S CORNER
Robotic assisted laparoscopic repair of vesico-vaginal fstula: the extravesical approach
Department of Urology, Mayo Clinic Florida, Jacksonville, Florida, USA
Address correspondence to Dr. Alexandra E. Rogers, 4500 San Pablo Road, Jacksonville, FL 32224 USA
Canadian Journal of Urology 2012, 19(5), 6474-6476.
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Theoptimalmethodofvesico-vaginalfstula(VVF)repair remains undetermined. Almost all previous descriptions of laparoscopic/robotic fstula repair involve utilizing a vertical cystotomy to identify the fsula. Avoidance of an intravesical approach to vesico-vaginal fstula repair may decrease patient morbidity. Patient selection, patient positioning, fstula recognition, port placement, intra-operative dissection techniques, flap formation, and repair are outlined in this video of robotic repair of vesico-vaginal fstula utilizing an extravesical approach. The extravesical robotic repair has been successfully utilized in two patients with VVF following hysterectomy. This manuscript and video demonstrates that vesico-vaginal fstulae can be repaired with a robotic assisted extravesical approach avoiding the morbidity of a large cystotomy.Keywords
robotics, laparoscopy, vesico-vaginal fstula, vagina
Cite This Article
APA Style
Rogers, A.E., Thiel, D.D., Brisson, T.E., Petrou, S.P. (2012). Robotic assisted laparoscopic repair of vesico-vaginal fstula: the extravesical approach. Canadian Journal of Urology, 19(5), 6474–6476.
Vancouver Style
Rogers AE, Thiel DD, Brisson TE, Petrou SP. Robotic assisted laparoscopic repair of vesico-vaginal fstula: the extravesical approach. Can J Urology. 2012;19(5):6474–6476.
IEEE Style
A.E. Rogers, D.D. Thiel, T.E. Brisson, and S.P. Petrou, “Robotic assisted laparoscopic repair of vesico-vaginal fstula: the extravesical approach,” Can. J. Urology, vol. 19, no. 5, pp. 6474–6476, 2012.
Copyright © 2012 The Author(s). Published by Tech Science Press.This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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