LAPROSCOPIC O'CONOR'S REPAIR IN IATROGENIC VESICO VAGINAL FISTULAS

Aims and objectives: To present our experience with laparoscopic O’conor’s repair in iatrogenic vesico vaginal stulas. Materials and methods: A retrospective review of all cases who underwent laparoscopic O’conor’s repair for iatrogenic vesico vaginal stulas between July 2013 to July 2017 at Nizam’s institute of medical sciences, Hyderabad was done. A Total of 16 cases were included in the study.This being our initial study, failed vvf repair cases were not included. In all the cases the cause was iatrogenic (hysterectomy). All the cases were operated by single surgeon. All the preoperative and postoperative data including success after the procedure has ben reviewd. Results: In 3 cases ileus persisted for three days which waqs managed by putting patient nil per oral and Ryle’s tube aspiration. Drain output ranged from 70-120 ml/day. Drains were removed on 3rd to 5th post operative day. Patients were discharged by urethral catheter in situ. On follow up after removal of catheter 6 cases reported urgency and frequency which was managed with anticholinergics and antibiotics as required. All cases did well during post operative period and follow up without any involuntary urinary leakage as complaint. Conclusion: Laproscopic O’conor’s repair in iatrogenic vesico vaginal stulas is as promising as like other options.