История болезни гинекологии и акушерства Открытый доступ

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Laparoscopic Management of a Vesicouterine Fistula in a Patient with Deep Infiltrating Endometriosis

Filipa Osório1,2, Margarida Cal2*, Filipa Sousa3, Madalena Tavares4, João Alves1, Adalgisa Guerra1

Objective: Demonstration of how a vesicouterine fistula can be safely managed by laparoscopic approach.

Design: Stepwise demonstration of the laparoscopic surgical technique performed in case of a vesicouterine fistula.

Materials and Methods: We report a case of vesicouterine fistula safely managed by laparoscopic approach in a 39-year-old woman with deep infiltrating endometriosis and two previous caesarean sections.

Results: A total laparoscopic approach of a vesicouterine fistula was performed, with key steps to achieve a minimally invasive strategy.

Conclusion: In this video, we demonstrate the surgical steps to perform an effective and safe minimally invasive laparoscopic approach to a vesicouterine fistula.