Laparoscopic transperitoneal extravesical approach to vesicovaginal fistula repair without omental flap: a novel technique.
OBJECTIVE
The O'Connor bladder bivalving technique remains the traditional abdominal approach to vesicovaginal fistula repair whether performed via laparotomy or laparoscopy.


METHODS
This video depicts a new surgical technique utilizing a laparoscopic transperitoneal extravesical approach without invasive bladder bivalving or an omental flap. This technique was first described in 1999 and has been utilized on >40 patients with either primary or recurrent vesicovaginal fistulas.


RESULTS
A 98% success rate is reported.


CONCLUSIONS
This alternative technique can be performed using either a laparoscopy or the traditional laparotomy approach.
International Urogynecology Associates, Atlanta Urogynecology Associates, 3400 Old Milton Parkway Suite C330, Alpharetta, GA, 30005, USA, johnrmiklos@yahoo.com.
John R
JR
Miklos
Robert D
RD
Moore
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014719:Vesicovaginal Fistula / Q000601:surgery*