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@article{Mallikarjun Reddy, Shishir Devaraju, Murigenda Hiremath_2010, title={Laparoscopic Approach to Vesicovaginal Fistula: Our Experience}, volume={2}, url={https://www.updatepublishing.com/journal/index.php/rrst/article/view/499}, abstractNote={<p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; letter-spacing: -0.2pt; font-size: 12pt;">Abstract</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Introduction: Most Vesicovaginal fistulas<span style="mso-spacerun: yes;">  </span>in the industrialized world are iatrogenic, Though they may also result from congenital anomalies, malignant disease, inflammation and infection, radiation therapy, iatrogenic (surgical) or external tissue trauma, ischemia, parturition and a variety of other processes. Vesicovaginal fistulas (VVF) represent, by far, the most common type of acquired fistula of the urinary tract. The goal of treatment of these fistulas is the rapid cessation of urine leakage with return of normal and complete urinary and genital function.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Materials and Methods: Female patients presenting with iatrogenic Vesicovaginal fistula formed the study group. A detailed history and physical examination was carried out. Imaging included intravenous urogram, cystogram, computerised tomography, MR imaging and retrograde ureterogram as felt necessary.<span style="mso-spacerun: yes;">  </span>Surgical repair of Vesicovaginal fistula was carried out through a laparoscopic approach.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Results: 24 women presented with VVF, of these 19 underwent laparoscopic transperitoneal repair, whereas 5 underwent laparoscopic transvesicoscopic repair. The intraoperative blood loss was minimal (< 100 ml) and no major perioperative complications were noted. </span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Conclusions: Minimally invasive approaches to repair vesico-vaginal fistulas are feasible, safe and associated with minimal blood loss, hospital stay and morbidity.</span></p><p class="MsoNormal" style="text-indent: 0in; margin: 6pt 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Keywords</span></strong><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">: Laparoscopy, Minimally invasive, Vesicovaginal fistula </span></p>}, number={8}, journal={Recent Research in Science and Technology}, author={Mallikarjun Reddy, Shishir Devaraju, Murigenda Hiremath, Nerli R B*,}, year={2010}, month={Oct.} }