Comparative Analysis of Outcome Between Open and Robotic Surgical Repair of Recurrent Supra-Trigonal Vesico-Vaginal Fistula

Abstract

The present study suggests that robotic VVF repair is a better option for recurrent fistulas in view of its reduced morbidity, without compromising the results.

Robotic-assisted laparoscopic repair of a vesicovaginal fistula: a time-consuming novelty or an effective tool?

“…In this retrospective study robotic repair significantly lowered total blood loss and shortened hospital stay by almost 2 days. In accordance with another study, no significant difference in the outcome was found 10. However, robotic surgery easily overcomes the problem of fibrosis and extensive adhesiolysis with recurrent fistulas and as such may be a better option than abdominal surgery 10 12…”

“…All other studies performed the entire procedure with robotic assistance 7 8 10–12. Also, the origin of the interposed tissue was different between cases: omentum was most commonly used to separate the sutures closing the fistula 7 9 10. One applied a peritoneal inlay flap in order to prevent the time-consuming harvesting of the omentum 8.…”

A Simplified Laparoscopic Approach to Repair Vesicovaginal Fistula: The M.S. Ramaiah Technique

“…[2][3][4][5][6] To overcome the challenge of free-hand laparoscopic suturing, the robotic platform has been used for a good effect as a viable surgical alternative for the management of VVF, albeit at higher costs. [7][8][9] However, the robotic platform is available at only a handful of centers in India, and hence, the open transabdominal approach and the laparoscopic approach continue to be the predominant methods of repair adopted by urologists in this country.…”

Use of Pedicled Omental Graft as an Aid to Vesicovaginal Fistula Repair

“…We have no experience of using these techonologies. 13,14,15 CONCLUSIONS: VVF remains a devastating condition leading to physical, social and psychological trauma for the patient. Successful repair depends on the experience of surgeon, adhering to the basic surgical principles, judicious use of interposition of omental flap and avoidance of hematoma formation.…”