Cited 2 times in
Experiences with an Extraperitoneal Transvesicoscopic Repair of a Vesicovaginal Fistula
DC Field | Value | Language |
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dc.contributor.author | 김장환 | - |
dc.contributor.author | 홍창희 | - |
dc.contributor.author | 김홍욱 | - |
dc.date.accessioned | 2024-03-22T05:56:31Z | - |
dc.date.available | 2024-03-22T05:56:31Z | - |
dc.date.issued | 2023-07 | - |
dc.identifier.issn | 1735-1308 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/198301 | - |
dc.description.abstract | Purpose: A vesicovaginal fistula (VVF) is a debilitating condition for women in terms of both its personal and social impacts. A reported transperitoneal laparoscopic approach to treatment has some limitations such as risk of intra-peritoneal organ injury and unnecessary bladder dissection. We here report on our experiences with an extra -peritoneal transvesicoscopic approach to a VVF repair, which overcomes these drawbacks.Materials and Methods: Seven VVF patients were treated using the transvesicoscopic approach. Under general anesthesia, patients were placed in the dorsal lithotomy position. The VVF orifice was obstructed via the vaginal canal using a Foley catheter. The bladder was then filled with normal saline under cystoscopic inspection, and a 5 mm trocar was inserted into it at the suprapubic area. The bladder wall was next fixed to the anterior abdominal wall. Thereafter, two 3 mm ports were punctured at the interspinous skin crease allowing the fistula margin to be cut and sutured in layers. Results: Six of the study subjects in whom we attempted a transvesicoscopic repair of VVF had undergone a hysterectomy due to myoma and one had an intraabdominal abscess removal with Behcet's disease. One myoma patient who had a preexisting vesicoperitoneal fistula was converted to an open transabdominal VVF repair. The mean age of the 6 remaining patients was 46.0 & PLUSMN; 7.2 years (range, 35-57). The mean operation time was 273 & PLUSMN; 40.6 minutes (range, 223-323). There was no instances of significant pain or other immediate complications. Five patients showed no recurrence of the fistula during the follow-up period (8.7 & PLUSMN; 5.1 months).Conclusion: A transvesicoscopic approach is an effective modality for the repair of a VVF that is more minimally invasive and has a lower morbidity than a transabdominal procedure. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Urology and Nephrology Research Center | - |
dc.relation.isPartOf | UROLOGY JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Anesthesia, General | - |
dc.subject.MESH | Dissection | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Myoma* | - |
dc.subject.MESH | Urinary Bladder | - |
dc.subject.MESH | Vesicovaginal Fistula* / etiology | - |
dc.subject.MESH | Vesicovaginal Fistula* / surgery | - |
dc.title | Experiences with an Extraperitoneal Transvesicoscopic Repair of a Vesicovaginal Fistula | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Hongwook Kim | - |
dc.contributor.googleauthor | ChangHee Hong | - |
dc.contributor.googleauthor | JangHwan Kim | - |
dc.identifier.doi | 10.22037/uj.v20i.7518 | - |
dc.contributor.localId | A00855 | - |
dc.contributor.localId | A04447 | - |
dc.relation.journalcode | J02940 | - |
dc.identifier.eissn | 1735-546X | - |
dc.identifier.pmid | 37481705 | - |
dc.identifier.url | https://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/7518 | - |
dc.contributor.alternativeName | Kim, Jang Hwan | - |
dc.contributor.affiliatedAuthor | 김장환 | - |
dc.contributor.affiliatedAuthor | 홍창희 | - |
dc.citation.volume | 20 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 240 | - |
dc.citation.endPage | 245 | - |
dc.identifier.bibliographicCitation | UROLOGY JOURNAL, Vol.20(4) : 240-245, 2023-07 | - |
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