Intravesical Endoscopic Repair of a Vesicovaginal Fistula: A Case Report

膀胱陰道廔管之膀胱內內視鏡修補術病例報告

蔡維恭(Wei-Kung Tsai) ； 林文州(Wen-Chou Lin) ； 林文榮(Wun-Rong Lin) ； 楊志東(Stone Yang) ； 邱文祥(Allen W. Chiu)

《臺灣泌尿科醫學會雜誌》 15卷2期 (2004/06) Pp. 79-83

摘要

一個四十六歲女性接受全子宮切除合併膀胱破裂並接受術中修補。術後第八天因膀胱陰道廔管形成而出現尿液滲漏。我們使用腹腔鏡之技巧於術後早期進行膀胱內之內視鏡修補術，以避免傳統手術方式須面臨膀胱周圍感染及發炎組織之困擾。廔管於術後成功地癒合並接受八個月追蹤未出現復發之現象。在此報告此新的手術方法並討論其優缺點及其未來可能之應用。

關鍵字

膀胱陰道廔管 ； 內視鏡

並列摘要

A 46-year-old female received a total hysterectomy which was complicated by urinary bladder injury and which was repaired intraoperatively. Urine leakage due to a vesicovaginal fistula developed on postoperative 8th day. Early postoperative intravesical endoscopic repair of the vesicovaginal fistula by a laparoscopic technique was performed. This approach avoided an operation in the surgical field at an early postoperative stage, particularly on the perivesical tissue with infection and inflammation. The fistula healed successfully, and no recurrence was found at the 8-month follow-up. We describe this novel technique and discuss its advantages, problems, and future potential applications.

並列關鍵字

vesicovaginal fistula ； endoscopy