دورية أكاديمية
أعرض في EDS

Pneumovesical vesicovaginal fistula repair: Lessons learned from an initial series of 25 patients.

التفاصيل البيبلوغرافية
العنوان: Pneumovesical vesicovaginal fistula repair: Lessons learned from an initial series of 25 patients.
المؤلفون: Jeon BJ; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea., Tae BS; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea., Yoo JW; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea., Koo HY; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea., Oh CY; Department of Urology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Gyeonggi-do, South Korea., Park JY; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea., Bae JH; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
المصدر: International journal of urology : official journal of the Japanese Urological Association [Int J Urol] 2024 Jul 22. Date of Electronic Publication: 2024 Jul 22.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Asia Country of Publication: Australia NLM ID: 9440237 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1442-2042 (Electronic) Linking ISSN: 09198172 NLM ISO Abbreviation: Int J Urol Subsets: MEDLINE
أسماء مطبوعة: Publication: Carlton South, Vic. : Blackwell Science Asia
Original Publication: Tokyo ; New York : Churchill Livingstone, c1994-
مستخلص: Objectives: This study aims to share the experiences and outcomes of laparoscopic pneumovesical repair for vesicovaginal fistulas (VVF).
Materials and Methods: A retrospective review of medical records from a single institution over 10 years was conducted. The focus was on patients who underwent VVF repair using a pneumovesical approach with three 5 mm laparoscopic ports. The study evaluated perioperative parameters, postoperative outcomes, and complication rates to assess the efficacy and safety of this surgical method. Cumulative sum (CUSUM) analysis was used to determine the learning curve based on operative time.
Results: Of the 26 patients with VVF, 23 (88.5%) had successful fistula closure after the first surgery. One patient required open surgery conversion due to challenges in maintaining pneumovesicum, and two experienced recurrences, although successful repairs were achieved in subsequent surgeries. The average patient age was 47.4 years, with a mean operative time of 99.9 min. The postoperative hospital stay averaged 9.1 days, and catheterization lasted about 11 days. The CUSUM chart indicated a learning curve, with fluctuations until the 19th case, followed by a consistent upward pattern.
Conclusion: Laparoscopic pneumovesical VVF repair is an effective and safe technique, especially suitable for fistulas near the ureteral orifice or deep in the vaginal cavity. The method demonstrates favorable outcomes with minimal complications and allows for easy reoperation if necessary.
(© 2024 The Author(s). International Journal of Urology published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Urological Association.)
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فهرسة مساهمة: Keywords: laparoscopy; minimally invasive surgery; surgical procedure; transvesical; vesicovaginal fistula
تواريخ الأحداث: Date Created: 20240723 Latest Revision: 20240723
رمز التحديث: 20240723
DOI: 10.1111/iju.15508
PMID: 39039659
قاعدة البيانات: MEDLINE
الوصف
تدمد:1442-2042
DOI:10.1111/iju.15508