Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique

The optimal surgical method of vesicovaginal fistula (VVF) remains uncertain. Minimally invasive surgical approaches have become highly popular in line with technological advancements, namely, laparoscopic, robotic, and transvaginal techniques. However, these techniques still require invasiveness. T...

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Main Authors: Jianbiao Huang, Yu Cheng, Bin Wang, Haichao Chao, Xiangda Xu, Tao Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2024.1331476/full
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author Jianbiao Huang
Yu Cheng
Bin Wang
Haichao Chao
Xiangda Xu
Tao Zeng
author_facet Jianbiao Huang
Yu Cheng
Bin Wang
Haichao Chao
Xiangda Xu
Tao Zeng
author_sort Jianbiao Huang
collection DOAJ
description The optimal surgical method of vesicovaginal fistula (VVF) remains uncertain. Minimally invasive surgical approaches have become highly popular in line with technological advancements, namely, laparoscopic, robotic, and transvaginal techniques. However, these techniques still require invasiveness. This is the first case report that described a novel “zero-incision” technique for natural orifice transvaginal single-port laparoscopy used to repair a recurrent and high-position VVF. The patient underwent transvaginal single-port laparoscopic repair of a VVF. Methylene blue was used to locate the VVF, and a needle electrode was used to thoroughly remove the scar tissue of the VVF. In addition, this technique for transvaginal single-port laparoscopy provides more working space to expose and repair fistulas conveniently and adequately. One year after surgery, the patient remained asymptomatic and had no fistula recurrence. Minimally invasive transvaginal single-port laparoscopy provides a clear surgical field, is safe and feasible. This novel technique has promising as an additional personalized treatment option for VVF repair.
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spelling doaj.art-2f515d700b4a4c1d895d5746171bbe6f2024-01-19T04:23:30ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-01-011110.3389/fsurg.2024.13314761331476Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this techniqueJianbiao Huang0Yu Cheng1Bin Wang2Haichao Chao3Xiangda Xu4Tao Zeng5he Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, Chinahe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, Chinahe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, Chinahe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, Chinahe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, Chinahe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, ChinaThe optimal surgical method of vesicovaginal fistula (VVF) remains uncertain. Minimally invasive surgical approaches have become highly popular in line with technological advancements, namely, laparoscopic, robotic, and transvaginal techniques. However, these techniques still require invasiveness. This is the first case report that described a novel “zero-incision” technique for natural orifice transvaginal single-port laparoscopy used to repair a recurrent and high-position VVF. The patient underwent transvaginal single-port laparoscopic repair of a VVF. Methylene blue was used to locate the VVF, and a needle electrode was used to thoroughly remove the scar tissue of the VVF. In addition, this technique for transvaginal single-port laparoscopy provides more working space to expose and repair fistulas conveniently and adequately. One year after surgery, the patient remained asymptomatic and had no fistula recurrence. Minimally invasive transvaginal single-port laparoscopy provides a clear surgical field, is safe and feasible. This novel technique has promising as an additional personalized treatment option for VVF repair.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1331476/fulltransvaginalsingle-port laparoscopyvesicovaginal fistularepaircase report
spellingShingle Jianbiao Huang
Yu Cheng
Bin Wang
Haichao Chao
Xiangda Xu
Tao Zeng
Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique
Frontiers in Surgery
transvaginal
single-port laparoscopy
vesicovaginal fistula
repair
case report
title Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique
title_full Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique
title_fullStr Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique
title_full_unstemmed Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique
title_short Minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: a case report and the point of this technique
title_sort minimally invasive transvaginal single port laparoscopic vesicovaginal fistula repair a case report and the point of this technique
topic transvaginal
single-port laparoscopy
vesicovaginal fistula
repair
case report
url https://www.frontiersin.org/articles/10.3389/fsurg.2024.1331476/full
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