title: Failed omental flap vesicovaginal fistula repair subsequently repaired laparoscopically without an omental flap.
abstract: BACKGROUND
  Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap.
  
  
  METHODS
  A 52-year-old woman with a history of cystotomy repair at the time of hysterectomy and a subsequent abdominal omental flap vesicovaginal fistula repair failure underwent a successful repair using a laparoscopic-layered closure of her fistula without omental flap.
  
  
  CONCLUSIONS
  A failed omental flap vesicovaginal fistula repair can be repaired laparoscopically and without an omental flap.
authors.affiliation: Atlanta Urogynecology Associates, Atlanta, GA, USA. JohnRMiklos@yahoo.com
authors.forename: John R
authors.initials: JR
authors.lastname: Miklos
authors.forename: Robert D
authors.initials: RD
authors.lastname: Moore
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D013536:Suture Techniques; D017211:Treatment Failure; D013520:Urologic Surgical Procedures / Q000379:methods; D014719:Vesicovaginal Fistula / Q000601:surgery*