{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T05:06:52Z","timestamp":1739596012639,"version":"3.37.1"},"reference-count":11,"publisher":"Galenos Yayinevi","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Background: Vesico-vaginal fistula (VVF) is a rare but debilitating condition, characterised by an abnormal connection between the bladder and vagina. While obstetric-related cases prevail in developing countries, iatrogenic fistulas are more common in industrialised ones, often resulting from pelvic surgeries.\n\nObjectives: The optimal timing for surgical correction of VVF remains debated, often leaning towards delayed intervention. Here we report a successful early laparoscopic repair of an iatrogenic VVF following hysterectomy.\n\nMaterials and Methods: The patient, a 54-year-old woman, presented with VVF after a hysterectomy. The laparoscopic repair was performed promptly upon diagnosis.\n\nMain outcome measures: To assess the feasibility and effectiveness of an early repair of a gynaecological-related VVF.\n\nResults: First, cystoscopy identified the bladder edge of the VVF. Second, laparoscopy was performed and the vesico-vaginal dissection was carried out. The excision of the previous stitches and of the fibrotic tissue was undertaken to create free flaps for suturing. The bladder was repaired in a double layer, and a single layer was applied to the vagina. Finally, the omentoplasty was done. The patient was discharged on postoperative day 5. No complications occurred.\n\nConclusions: This successful case demonstrates the feasibility and safety of early laparoscopic repair for gynaecological surgery-related vesico-vaginal fistulae. While acknowledging the need for further studies to standardise techniques, this report contributes to the evolving understanding of optimal management for this complex condition.<\/jats:p>","DOI":"10.52054\/fvvo.16.2.014","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T21:08:50Z","timestamp":1719868130000},"page":"213-215","source":"Crossref","is-referenced-by-count":0,"title":["Early approach for the iatrogenic vesico-vaginal fistula repair: a video case report"],"prefix":"10.52054","volume":"16","author":[{"given":"M","family":"Afonina","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Waligora Lages","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Liori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Botchorishvili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2024,6]]},"reference":[{"doi-asserted-by":"publisher","unstructured":"Blandy JP, Badenoch DF, Fowler CG et al. Early repair of iatrogenic injury to the ureter or bladder after gynaecological surgery. J Urol. 1991;146:761\u20135.","key":"ref0","DOI":"10.1016\/s0022-5347(17)37915-6"},{"doi-asserted-by":"publisher","unstructured":"Dorairajan LN, Hemal AK. Lower urinary tract fistula: the minimally invasive approach. Curr Opin Urol. 2009;16:556\u201362.","key":"ref1","DOI":"10.1097\/mou.0b013e32833140aa"},{"doi-asserted-by":"crossref","unstructured":"Malik MA, Sohail M, Malik MT et al. Changing trends in the aetiology and management of vesicovaginal fistula. Int J Urol. 2018;25:25-9.","key":"ref2","DOI":"10.1111\/iju.13419"},{"doi-asserted-by":"publisher","unstructured":"Margules AC, Rovner ES. The Use of Tissue Flaps in the Management of Urinary Tract Fistulas. Curr Urol Rep. 2019;20:32.","key":"ref3","DOI":"10.1007\/s11934-019-0892-6"},{"doi-asserted-by":"publisher","unstructured":"N\u00fa\u00f1ez Bragayrac LA, Azhar RA, Sotelo R. Minimally invasive management of urological fistulas. Curr Opin Urol. 2015;25:136\u201342.","key":"ref4","DOI":"10.1097\/mou.0000000000000144"},{"unstructured":"Smith AV, Cabrera R, Kondo W et al. Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment. Surg Technol Int. 2019;35:189\u201398.","key":"ref5"},{"doi-asserted-by":"publisher","unstructured":"Sotelo R, Moros V, Clavijo R et al. Robotic repair of vesicovaginal fistula (VVF). BJU Int. 2012;109:1416\u201334.","key":"ref6","DOI":"10.1111\/j.1464-410x.2012.10148.x"},{"doi-asserted-by":"publisher","unstructured":"Stamatakos M, Sargedi C, Stasinou T et al. Vesicovaginal fistula: diagnosis and management. Indian J Surg. 2014;76:131\u20136.","key":"ref7","DOI":"10.1007\/s12262-012-0787-y"},{"doi-asserted-by":"crossref","unstructured":"Waaldijk K. The immediate management of fresh obstetric fistulas. Am J Obstet Gynecol. 2004;191:795\u20139.","key":"ref8","DOI":"10.1016\/j.ajog.2004.02.020"},{"doi-asserted-by":"crossref","unstructured":"Wang X, Gao Z, Li L et al. Clinical efficacy of flap transfer coverage in the treatment of vesicovaginal fistula. Int Urogynecol J. 2023;34:1797\u2013802.","key":"ref9","DOI":"10.1007\/s00192-023-05465-w"},{"doi-asserted-by":"publisher","unstructured":"Zumrutbas AE, Ozlulerden Y, Alkis O et al. Optic-guided vaginal repair of vesicovaginal fistula. J Endourol. 2014;28:275\u20139.","key":"ref10","DOI":"10.1089\/end.2013.0435"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:56:10Z","timestamp":1739512570000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.16.2.014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,5]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.16.2.014","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"type":"electronic","value":"2684-4230"},{"type":"print","value":"2032-0418"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}