Comparative analysis of outcome between laparoscopic versus open surgical repair for vesico-vaginal fistula.
10.5468/ogs.2016.59.6.525
- Author:
Bastab GHOSH
1
;
Varun WATS
;
Dilip Kumar PAL
Author Information
1. Department of Urology, Institute of Postgraduate Medical Education & Research, Kolkata, India. urologyipgmer@gmail.com
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Open surgery;
Vesicovaginal fistula
- MeSH:
Female;
Fistula;
Gynecology;
Humans;
Laparoscopy;
Length of Stay;
Retrospective Studies;
Vesicovaginal Fistula*
- From:Obstetrics & Gynecology Science
2016;59(6):525-529
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Vesicovaginal fistula (VVF) causes detrimental psychosomatic effects on a woman. It is repaired using open abdominal as well as laparoscopic approach. Here we compare a series of open versus laparoscopic VVF repairs done at a single centre. METHODS: Retrospectively data of patients undergoing VVF repair in our department between January 2011 to December 2014 was analyzed. Patients who had a single, primary, simple VVF following a gynaecological surgery were included in the study. 26 patients met all the criteria. Out of these, thirteen patients had undergone a laparoscopic VVF repair (group 1) while thirteen had undergone an open transabdominal VVF repair (group 2). RESULTS: Mean fistula size was 2.14±0.23 cm in group 1 and 2.18±0.30 cm in group 2, which was comparable. Mean blood loss was 58.69±6.48 mL in group 1 and 147.30±19.24 mL in group 2, which is statistically significant (P<0.0001). Mean hospital stay was 4 days in group 1 and 13 days in group 2 which is statistically significant (P<0.0001). The analgesic requirement (diclofenac) was 261.53±29.95 mg in group 1 and 617.30±34.43 mg in group 2, which is statistically significant (P<0.0001). Fistula repair was successful in all the patients in both the groups. CONCLUSION: The present study shows that laparoscopic VVF repair results in reduced patient morbidity and shorter hospital stay without compromising the results. So laparoscopic repair may be a more attractive treatment option for patients with post gynecology surgery VVF.
