Robot-assisted laparoscopic repair of high vesicovaginal fistulae with peritoneal flap inlay

摘要

We would like to present the technique and our experience in the management of vesicovaginal fistulae with peritoneal flap inlay using the da Vinci system. So far, only a few reports can be found about robot-assisted fistula repair. The first one was described in 2005 by Melamud et al at the University of California.We operated on three females aged 40-64 yr who were diagnosed with a supratrigonal fistula as a complication after abdominal hysterectomy with no malignancy. Indications for the operation were high vaginal fistulae difficult to achieve by vaginal approach. We chose the laparoscopic access to get the best exposure to the fistula and to avoid laparotomy, thereby causing less morbidity to the patients and giving a superior view for fistula dissection. The fistulae were diagnosed and localized by cystoscopy and conventional cystography.