Articles
Exploring robot-assisted vesicovaginal fistula repair: two case reports and a narrative literature review
Michele Di Dio, Giuseppe Azzarone, Claudio Bisegna, Vincenzo Zaccone, Anna Perri, Paola Quaresima, Riccardo Bertolo, Fabrizio Di Maida, Giuseppina Amendola, Alberto Piana, Maurizio Guido, Michele Morelli
, xx-xx
ABSTRACT
Background. Vesicovaginal fistula (VVF) is a rare occurrence in Western countries, primarily resulting from iatrogenic injuries. Surgical repair becomes necessary when conservative management fails, However, timing and surgical approaches (vaginal, laparotomic, laparoscopic, robot-assisted) are still under debate.
Case presentation. We aim to present two case reports with a step-by-step description of the adopted robot-assisted surgical approach for the VVFs repair, highlighting its feasibility in primary and recurrent cases, along with a narrative literature review of previously described robot-assisted managed VVF cases.
Conclusions. Robot-assisted VVFs surgical repair represents a state-of-the-art treatment, combining advanced technology with surgical expertise to achieve optimal postoperative out-comes. In our experience, it is feasible, safe, effective, and represents a viable approach, especially in complex cases.
Key words
Vesicovaginal fistula; robotic surgery; minimally invasive surgery.
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