腹腔镜下膀胱阴道瘘修补术（VVF）

54 Years old female with past history of 2 Cesarian sections, open hysterectomy 3 months back, umbilical hernia repair 2 months back. Referral doctor had attempted Laparoscopic Vesicovaginal Fistula Repair (VVF) during hernia surgery but could not proceed due to dense adhesions. Hence patient was referred for VVF repair.

                               
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Patient had dense intra abdominal adhesions. During adhesiolysis patient had inadvertent bowel injury which was repaired in 2 layers.

Patient discharged on 5th day post op. Catheter removed, no urine leak.