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correction of colovesical and colovaginal fistulas by minimally invasive surgery, our first 28 cases

Mauricio Zuluaga, General and MIS surgeon1, Juan Carlos Valencia, General and MIS surgeon2, Ivo Siljic, General and MIS surgeon1, Uriel Cardona, General and MIS surgeon2. 1IJP Colombia, Hospitla Universitario Del Valle, Universidad Del Valle, 2IJP Colombia, Clinicafarallones, Clinica Desa, Cali Colombia

INTRODUCTION: THE FISTULAS OF THE INTESTINE TO THE VAGINA OR THE BLADDER INCLUDE A HIGHLY MORBID ENTITY, WITH SEVERAL FUNCTIONAL LIMITATION AND LOSS OF THE QUALITY OF LIFE, ITS DIAGNOSIS IS COMPLEX AND MORE THAN ITS TREATMENT, WHICH INCLUDE A WIDE RANGE OF POSSIBILITIES THAT GO FROM THE SIMPLE DERIVATIVE COLOSTOMY IN SEARCH OF THE SPONTANEOUS CLOSURE OF THE FISTULA, UNDER THE COMPLETE CORRECTION OF THE PATHOLOGY WITH RESECTIONS, ANASTOMOSIS AND MINI-VASIVE RECONSTRUCTIONS
GIVE TO KNOW OUR EXPERIENCE IN THE MINIMALLY INVASIVE TREATMENT OF WHOLE VAGINAL AND WHOLE VESICIAL FISTULES BY LAPAROSCOPIC VIA, FOR THE LAST 3 YEARS
 

MATERIAL AND METHODS: DESCRIPTION OF CASES OPERATED IN THIS PERIOD 2014-2017

RESULTS: A TOTAL OF 28 PATIENTS WERE OPERATED IN THIS PERIOD, 26 WOMEN AND 2 MEN, ALL THOSE BY LAPAROSCOPIC VIA, WITH INTESTINAL RESECTION, IN 26 THICK INTESTINE CASES, IN ONE SMALL INTESTINE AND IN ANOTHER CASE WITH THE COMMITMENT OF THE TWO, EVERYONE RESTRICTION AND INTESTINAL ANASTOMOSIS AND IN NO MATTER WERE COLOSTOMY, PRIMARY CLOSURES OF THE FISTULA IN 7 PATIENTS WERE REQUIRED, CONVERSION TO OPEN SURGERY IN A CASE AND THERE WAS NO RECURRENCE, 2 PATIENTS HAD PROLONGED HOSPITALIZATION FOR LOCALIZED INFECTIONS, A REQUIREMENT REINTERVENCION FOR REVISION. A PATIENT SUFFRIED A UMBILICAL EVENTRATION FOR THE EXTRACTION SITE, WHICH WAS CORRECTED ONE YEAR AFTER LAPAROSCOPY
 

CONCLUSION: MINIMALLY INVASIVE SURGERY IN PATIENTS WITH THIS TYPE OF PATHOLOGY BECOMES AN EXCELLENT STRATEGY FOR THE INTEGRAL MANAGEMENT OF THESE PATIENTS. GROUP WORK GUARANTEES GOOD RESULTS.

Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88114

Program Number: P253

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

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