Video 10: Robotic-assisted Vesico-cervical Fistula Repair

Matthews, C. A.

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/01.spv.0000370848.41433.0e
SGS Abstracts
Author Information

Obstetrics and Gynecology, VCU Medical Center, Richmond, VA

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS: Catherine Matthews:Intuitive Surgical:Honorarium:Surgical Proctor

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OBJECTIVE:

To present a video demonstrating a robotic-assisted vesico-cervical fistula that is exactly modeled after an open technique

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DESCRIPTION:

This video presents the following steps: Robotic-assisted transvesical approach to the fistula, excision of the fistula tract, wide mobilization of the bladder base from the anterior vaginal wall and bladder dome from the anterior abdominal wall, closure of the cervix, and layered closure of the bladder. The patient was discharged home on POD 1 taking only oral pain medications. She has no evidence of a recurrent fistula 6 months post-procedure.

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CONCLUSION:

Robotic-assistance affords the opportunity to efficiently perform a vesico-cervical fistula repair through a minimally-invasive technique that is exactly modeled after the open procedure

Keywords:

vesicocervical; fistula; da Vinci robot; cesarean section

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