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Robotic-Assisted Laparoscopic Repair of a Vesicouterine Fistula

Authors
Journal
JSLS Journal of the Society of Laparoendoscopic Surgeons
1086-8089
Publisher
The Society of Laparoendoscopic Surgeons
Publication Date
Volume
15
Issue
3
Identifiers
DOI: 10.4293/108680811x13071180407438
Source
Legacy
Keywords
  • Case Reports
Disciplines
  • Biology
  • Medicine

Abstract

Background: 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. Case: 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. Results: Robotic-assisted laparoscopic repair was successfully performed with the patient maintaining continence after surgery. Conclusion: Robotic-assisted laparoscopic repair of vesicouterine fistulas offers a minimally invasive approach to treatment of a complex disease process.

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