Reparación de fístula vesicovaginal recurrente asistida por robot
Por:
Corona-Montes V.E., García-Nares S., Fernández-Noyola G., Zapata-González A., Rosas-Nava J.E.
Publicada:
1 ene 2017
Resumen:
BACKGROUND: Vesicovaginal fistulas are usually secondary to open or laparoscopic abdominal hysterectomy, vaginal hysterectomy, or anterior colporrhaphy. They occur in women with comorbidities, as well as in those that have undergone radiotherapy or had pelvic trauma. CLINICAL CASE: A 46-year-old woman had a past surgical history of abdominal hysterectomy secondary to medium-element uterine myomatosis. After the surgical intervention, urine leakage through the vagina was observed and repaired on two different occasions. Due to persistent leakage, micturating cystography was done that revealed a radio-opaque image suggestive of an approximately 5-cm fistulous tract between the bladder and the vagina. Recurrent vesicovaginal fistula was diagnosed, which was finally treated through robotic-assisted resection and closure of the fistula, plus cystoscopy with the placement of a mono-J catheter and canalization of the fistulous tract with a 6 Fr open-end catheter. CONCLUSION: Minimally invasive (robotic-assisted) surgical repair of vesicovaginal fistula is an effective, safe, viable, and reproducible technique, with the advantages of less morbidity, shorter hospital stay, and a shorter learning curve, compared with the open or laparoscopic techniques. © 2017 Elsevier Doyma Mexico. All rights reserved.
Filiaciones:
Corona-Montes V.E.:
Departamento de Laparoscopia en Urología, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, Mexico
Centro de Cirugía Robótica, Hospital Ángeles del Pedregal, Ciudad de México, Mexico
García-Nares S.:
Centro de Cirugía Robótica, Hospital Ángeles del Pedregal, Ciudad de México, Mexico
Fernández-Noyola G.:
Centro de Cirugía Robótica, Hospital Ángeles del Pedregal, Ciudad de México, Mexico
Zapata-González A.:
Centro de Cirugía Robótica, Hospital Ángeles del Pedregal, Ciudad de México, Mexico
Rosas-Nava J.E.:
Centro de Cirugía Robótica, Hospital Ángeles del Pedregal, Ciudad de México, Mexico
Departamento de Laparoscopia en Urología, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, Mexico
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