Advances in Minimally Invasive Repair of Vesicovaginal Fistulas

@article{Tenggardjaja2013AdvancesIM,
  title={Advances in Minimally Invasive Repair of Vesicovaginal Fistulas},
  author={Christopher F. Tenggardjaja and Howard B. Goldman},
  journal={Current Urology Reports},
  year={2013},
  volume={14},
  pages={253-261}
}
Over the past 20 years, the discussion concerning vesicovaginal fistula (VVF) repair has evolved from strictly transabdominal/transvaginal to including minimally invasive surgeries. The original natural orifice approach through the vagina allows for VVF repair with decreased morbidity and minimal convalescence with success rates upwards of 90 %. For surgeries that involve a narrowed/stenotic vagina or a need for a concomitant abdominal procedure, transadominal surgery can be performed by… 
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Intravesical mini-laparoscopic repair of vesicovaginal fistulas
TLDR
Mini-laparoscopic repair of VVF in women who did not respond to conservative treatment with a Foley catheter provides a minimally invasive, easily reproducible approach with few associated complications in patients with simple fistulas.
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TLDR
It is demonstrated that a VVF repair, using a robotic-assisted, extravesical approach without interposition graft placement, can be safe, less invasive and have a successful outcome at 1 year of follow-up.
Laparoscopic Vesicovaginal Fistula Repair with Limited Cystotomy: A Rewarding Treatment Option
TLDR
Laparoscopic transabdominal transvesical VVF repair with limited cystotomy and sigmoid epiploic appendix flap coverage can be performed safely with short operative time, good success rate, less morbidity, and quick convalescence.
Robot-assisted vesicovaginal fistula repair: a safe and feasible technique
TLDR
Current data suggest that robot-assisted VVF repair is safe and feasible and probides the advantages of minimally invasive surgery.
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TLDR
Performing laparoscopic extravesical VVF repair using a three-layer closure technique without an interposition omentum is a safe, effective, minimally invasive technique with excellent cure rates in an experienced surgeon’s hands.
Robotic uterine-sparing vesicovaginal fistula repair
TLDR
Uterine-sparing VVF repair is feasible and safe, and more studies are needed to assess equivalence compared with other procedures.
Repair of post-hysterectomy vesicovaginal fistulae: the state of the art
TLDR
The state of the art in the treatment of VVF, which are exclusively of a traumatic nature and non-radiated, is reviewed by performing a bibliography search carried on Pubmed using keywords such as “vesicovaginal fistula”.
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References

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TLDR
Laparoscopic transperitoneal extravesical repair of VF is a safe and effective minimally invasive procedure for treatment of VVF.
Laparoscopic repair of vesicovaginal fistula
TLDR
Laparoscopic repair of vesicovaginal fistula without opening the bladder and using intracorporeal suturing and omentum interpositioning is feasible in selected patients.
Vesicovaginal Fistula Repair Without Intentional Cystotomy Using the Laparoscopic Robotic Approach: a Case Report
TLDR
The robotic-assisted laparoscopic approach is a viable option for successful repair of a vesicovaginal fistula in a patient in whom a vaginal approach is not indicated.
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TLDR
Laroscopic repair can be applied effectively in the management of Vesicovaginal fistula (VVF) repair for iatrogenic VVFs and provides all advantages of minimally invasive surgery.
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TLDR
It is believed that laparoscopic repair of supratrigonal vesicovaginal fistula is an excellent alternative to the traditional abdominal approach and provides excellent results.
Laparoscopic repair of vesicovaginal fistula.
TLDR
It is believed that laparoscopic repair of vesicovaginal fistula is a feasible and efficacious minimally invasive approach for the management of this entity.
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Laparoscopic transabdominal transvesical vesicovaginal fistula repair.
TLDR
Laroscopic transvesical vesicovaginal fistula repair appears to be a safe and effective procedure that adheres to the principles of a transabdominal transvesicals fistula Repair while decreasing morbidity and improving cosmesis.
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