“…These are not widely practiced, however, due to the costs and considerable learning curve required for extracorporeal freehand suturing. 7,[11][12][13][14][15] Raashid et al noted that, for transabdominal or transvaginal approaches, the success rate of VVF repair surgery was only 87%. 16 The vaginal approach is our first choice for fistula repair, because it is a fast, minimally invasive procedure with low morbidity, minimal blood loss, and short hospital stay.…”