{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T07:40:09Z","timestamp":1792309209852,"version":"4.4.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to evaluate the clinical course of a patient who developed vesicovaginal and rectovesical fistulas following LAH, with a focus on multidisciplinary management and the role of midwifery care in the patient\u2019s experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was conducted using a qualitative case study design. The case comprised a 48-year-old female patient who required secondary surgical intervention due to bladder perforation and the development of a rectovesical fistula following laparoscopic hysterectomy. Data were collected from multiple sources, including the patient\u2019s medical records, clinical observations, multidisciplinary team documentation, and a semi-structured, in-depth interview with the patient. Qualitative data were analyzed using the six-phase thematic analysis approach described by Braun and Clarke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Findings showed that surgical complications caused significant psychological distress, while multidisciplinary management and midwifery interventions improved clinical stabilization, psychological wellbeing, and adherence to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A multidisciplinary and holistic care approach in the management of complex surgical complications has positive effects on patient safety, psychological wellbeing, and overall care outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603261445174","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:47:34Z","timestamp":1777470454000},"page":"838-845","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary management of vesicovaginal and rectovesical fistulas developing after laparoscopic hysterectomy: A Qualitative Case Study"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2762-8933","authenticated-orcid":false,"given":"Arife B\u00fc\u015fra","family":"Karaosmano\u011flu","sequence":"first","affiliation":[{"name":"Department of Midwifery, Konya City Hospital, T\u00fcrkiye"},{"name":"Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevcan","family":"Sar\u0131kaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Konya City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7453-1205","authenticated-orcid":false,"given":"Yasemin","family":"Erkal Aksoy","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Esmaeilpour H. 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