Suprapubic Transvesical Repair of Vesicovaginal Fistula Using a Homemade Laparoscopic Single-Port Device: Experience of 42 Patients.
Suprapubic Transvesical Repair of Vesicovaginal Fistula Using a Homemade Laparoscopic Single-Port Device: Experience of 42 Patients.
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DOI：
10.3389/fsurg.2021.744226
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发表时间：
2021
影响因子：
1.8
通讯作者：
Huang H
中科院分区：
文献类型：
--
作者：
Fan X;Ma X;Lai Y;Li Z;Huang J;Huang H
目的：膀胱阴道瘘（VVF）是最常见的泌尿生殖道获得性瘘，一直是一个祸害和公共卫生的重要性。经阴道、经腹或经膀胱途径修补VVF，但其最佳方法仍有争议。方法：使用自制腹腔镜单孔装置，演示耻骨上经膀胱入路修复VVF。对2012年1月至2018年3月在我中心接受VVF瘘修复术的42例连续患者的病历进行了回顾性审查。采用自制腹腔镜单孔装置经耻骨上膀胱入路修复VVF。收集临床数据、围手术期数据和结局。主要结局是VVF成功闭合率，次要结局是围手术期并发症。结果：本组患者平均年龄44.6（27-58）岁。平均随访时间为65.6（32-118）个月。首次手术后，37例（88.1%）患者成功闭合VVF，5例患者失败。所有5例患者均在第二次修复后治愈。未发生Clavien-Dindo 2级或以上定义的严重并发症。结论：采用自制单孔腹腔镜装置经耻骨上膀胱修补VVF是一种简单、有效、可行的方法，效果理想，无严重并发症。
Aim: Vesicovaginal fistula (VVF) is the most common urogenital acquired fistula, and has remained a scourge and of public health importance. VVF can be repaired by transvaginal approach, transabdominal approach or transvesical approach, but the optimal management is still debated. Methods: To demonstrate a suprapubic transvesical approach to repair VVFs using a homemade laparoscopic single-port device. A retrospective review of the medical records of 42 consecutive patients who underwent fistula repair for VVF at our center from January 2012 to March 2018 was performed. VVFs were repaired by a suprapubic transvesical approach using a homemade laparoscopic single-port device. Clinical data, perioperative data and outcomes were collected. The primary outcome was VVF successful closure rate, and secondary outcome was perioperative complications. Results: The mean age of the patients was 44.6 (27–58) yr. The mean follow-up time was 65.6 (32–118) mo. The VVFs were successfully closed in 37 (88.1%) patients after the first surgery, and failure was observed in five patients. Initial failures of all the five patients were cured after a second repair. No major complication occurred as defined by Clavien-Dindo class 2 or greater. Conclusions: Suprapubic transvesical approach to repair VVFs using a homemade laparoscopic single-port device is a simple, effective, and feasible approach offering ideal results without major complications.
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影响因子：
23.4
作者：
Mitropoulos, Dionysios;Artibani, Walter;Truss, Michael
通讯作者：
Truss, Michael
DOI：
10.1007/bf01901602
发表时间：
1998-01-01
期刊：
International urogynecology journal and pelvic floor dysfunction
影响因子：
--
作者：
Hilton, P;Ward, A
通讯作者：
Ward, A
影响因子：
23.4
作者：
Luo, De-Yi;Shen, Hong
通讯作者：
Shen, Hong
影响因子：
1.7
作者：
Roslan, Marek;Markuszewski, Marcin M.;Krajka, Kazimierz
通讯作者：
Krajka, Kazimierz
影响因子：
2.7
作者：
Wong, C;Lam, PN;Lucente, VR
通讯作者：
Lucente, VR