VAGINAL REPAIR OF RECURRENT
VESICO-VAGINAL FISTULA
M. Karram,
S. Kleeman
OBJECTIVE: Demonstrate techniques in a transvaginal operation for repair of a recurrent vesico-vaginal fistula.
MATERIALS AND METHODS: The
case shows a patient who developed a vesico-vaginal
fistula after a laparoscopic assisted vaginal hysterectomy performed for
endometriosis. A Latzko
procedure was performed which failed in the immediate postoperative
period. This is a second repair.
RESULTS: The video demonstrates identification of two
fistulae, wide mobilization of the fistula, multi-layer closure, and omentum used to cover the repair.
CONCLUSIONS: The recommended principles of fistula repair
are demonstrated producing a good repair of this recurrent fistula.
Key
Words: vesicovaginal fistula, Latzko
procedure
Disclosure
– Speakers Bureau: M. Karram, Ortho-McNeil, Gynecare, Indevis, Watson;