Robotic-Assisted Vesico-Vaginal Fistula Repair

Fig. 30.1

Supra-trigonal vesico-vaginal fistula showing well epethelized fistulous tract

Fig 30.2

Cytoscopic placement of ureteric catheter through fistulous tract for easy identification

Fig. 30.3

Port position for robotic-assisted vesico-vaginal fistula repair

Fig. 30.4

(a) Releasing omentum adherent to abdominal wall in a case of post-hysterectomy vesico-vaginal fistula repair. (b) Releasing adhesions from vaginal vault in a case of post-hysterectomy vesico-vaginal fistula repair

Fig. 30.5

Vertical cystotomy incision to access the fistulous tract in a case of post hysterectomy supra trigonal VVF

Fig. 30.6

(a) Identification of small supra-trigonal vesico-vaginal fistula with the help of pre-placed ureteric catheter. (b) Bivalving the bladder to reach the fistulous tract in a case of complicated trigonal fistula

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