Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 11 , ISSUE 1 ( January-February, 2019 ) > List of Articles

RESEARCH ARTICLE

Robot-assisted Management of Urological Injuries Following Gynecological Surgeries: Our Experience

Lynsel Texeira, Nischith D'souza, Lavanya Raghu, Vineet K Singh, T Mujeeburahiman

Keywords : Gynecological injuries, Robot-assisted surgery, Ureteric reimplantation, Ureterovaginal fistula repair, Vesicovaginal fistula repair

Citation Information : Texeira L, D'souza N, Raghu L, Singh VK, Mujeeburahiman T. Robot-assisted Management of Urological Injuries Following Gynecological Surgeries: Our Experience. J South Asian Feder Obs Gynae 2019; 11 (1):61-64.

DOI: 10.5005/jp-journals-10006-1651

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Background and objectives: Robot-assisted minimally invasive surgeries have rapidly increased during the last decade. The objectives of the present study were to report our initial experience on robot-assisted management of urological injuries following gynecological surgeries, i.e., vesicovaginal fistula (VVF) repair and ureteric reimplantation for ureterovaginal fistula (UVF) and posthysterectomy ureteric strictures, using the da Vinci robotic system. Materials and methods: We performed robot-assisted surgeries in 12 such cases from February 2016 to September 2018. These include 7 cases of VVF repair, 2 cases of ureterovaginal fistulas and 3 cases of post-hysterectomy ureteric strictures requiring re-implantation. Results: All 7 patients who underwent VVF repair had no requirement of analgesics from 3rd day onwards and early convalescence, with only 1 having delayed recovery, The patients who underwent ureteric reimplantation for ureterovaginal fistula and ureteric strictures recovered well, with no hydroureteronephrosis or reflux of urine in any of the patients during follow-up. Conclusion: Our study concludes that, robot-assisted VVF repair and ureteric reimplantation for ureterovaginal fistula and ureteric stricture are safe and feasible and provides all the advantages of minimally invasive surgery, with additional benefit of enhanced precision, range of motion, visualization and access to pelvis and patient-related benefits of less pain, faster recovery, shorter hospital stay and early return to normal activity.


PDF Share
  1. Advincula AP, Song A. The role of robotic surgery in gynecology. Current Opinion in Obstetrics and Gynecology. 2007;19(4):331-336.
  2. Holloway RW, Patel SD, Ahmad S. Robotic surgery in gynecology. Scandinavian Journal of Surgery. 2009;98(2):96-109.
  3. Magrina JF. Robotic surgery in gynecology. European Journal of Gynaecological Oncology. 2007;28(2):77-82.
  4. Gala RB, Margulies R, Steinberg A, Murphy M, Lukban J, Jeppson P, et al. Systematic review of robotic surgery in gynecology: robotic techniques compared with laparoscopy and laparotomy. Journal of Minimally Invasive Gynecology. 2014;21(3):353-361.
  5. Cho JE, Shamshirsaz AH, Nezhat C, Nezhat F. New technologies for reproductive medicine: laparoscopy, endoscopy, robotic surgery and gynecology. a review of the literature. Minerva Ginecologica. 2010;62(2):137-167.
  6. Weinberg L, Rao S, Escobar PF. Robotic surgery in gynecology: an updated systematic review. Obstetrics and Gynecology International. 2011;2011.
  7. Nezhat C, Lavie O, Lemyre M, Unal E, Nezhat CH, Nezhat F. Robot-assisted laparoscopic surgery in gynecology: scientific dream or reality?. Fertility and Sterility. 2009;91(6):2620-2622.
  8. Ozdemir E, Ozturk U, Celen S, Sucak A, Gunel M, Guney G, et al. Urinary complications of gynecologic surgery: iatrogenic urinary tract system injuries in obstetrics and gynecology operations. Clinical and Experimental Obstetrics and Gynecology. 2011;38(3):217-220.
  9. Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean Journal of Urology. 2012;53(11):795-799.
  10. Al Otaibi K, Barakat AE, El Darawany H, Sheikh A, Fadaak K, Al Sowayan O, et al. Minimally invasive treatment of ureterovaginal fistula: A review and report of a new technique. Arab Journal of Urology. 2012;10(4):414-417.
  11. Deutsch GB, Sathyanarayana SA, Gunabushanam V, Mishra N, Rubach E, Zemon H, et al. Robotic vs. laparoscopic colorectal surgery: an institutional experience. Surgical Endoscopy. 2012;26(4):956-963.
  12. Matei DV, Zanagnolo V, Vartolomei MD, Crisan N, Ferro M, Bocciolone L, et al. Robot-Assisted Vesico-Vaginal Fistula Repair: Our Technique and Review of the Literature. Urologia Internationalis. 2017;99(2):137-142.
  13. Bora GS, Singh S, Mavuduru RS, Devana SK, Kumar S, Mete UK, et al. Robot-assisted vesicovaginal fistula repair: a safe and feasible technique. International Urogynecology Journal. 2017;28(6):957-962.
  14. Lanfranco AR, Castellanos AE, Desai JP, Meyers WC. Robotic surgery: a current perspective. Annals of Surgery. 2004;239(1):14.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.