Robot-assisted management of urological injuries following gynecological surgeries

Our Experience

Lynsel Texeira, Nischith D'souza, V. Jeevan Kumar, Lavanya Raghu, Vineet K. Singh, Altaf Khan, T. Mujeeburahiman

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)61-64
Number of pages4
JournalJournal of SAFOG
Volume11
Issue number1
DOIs
Publication statusPublished - 01-01-2019
Externally publishedYes

Fingerprint

Vesicovaginal Fistula
Gynecologic Surgical Procedures
Fistula
Replantation
Pathologic Constriction
Minimally Invasive Surgical Procedures
Wounds and Injuries
Robotics
Articular Range of Motion
Hysterectomy
Pelvis
Analgesics
Length of Stay
Urine
Pain

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Texeira, L., D'souza, N., Kumar, V. J., Raghu, L., Singh, V. K., Khan, A., & Mujeeburahiman, T. (2019). Robot-assisted management of urological injuries following gynecological surgeries: Our Experience. Journal of SAFOG, 11(1), 61-64. https://doi.org/10.5005/jp-journals-10006-1651
Texeira, Lynsel ; D'souza, Nischith ; Kumar, V. Jeevan ; Raghu, Lavanya ; Singh, Vineet K. ; Khan, Altaf ; Mujeeburahiman, T. / Robot-assisted management of urological injuries following gynecological surgeries : Our Experience. In: Journal of SAFOG. 2019 ; Vol. 11, No. 1. pp. 61-64.
@article{ba60cfda9348414ea9c592a4ec960900,
title = "Robot-assisted management of urological injuries following gynecological surgeries: Our Experience",
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.",
author = "Lynsel Texeira and Nischith D'souza and Kumar, {V. Jeevan} and Lavanya Raghu and Singh, {Vineet K.} and Altaf Khan and T. Mujeeburahiman",
year = "2019",
month = "1",
day = "1",
doi = "10.5005/jp-journals-10006-1651",
language = "English",
volume = "11",
pages = "61--64",
journal = "Journal of SAFOG",
issn = "0974-8938",
publisher = "Jaypee Brothers Medical Publishers (P) Ltd",
number = "1",

}

Texeira, L, D'souza, N, Kumar, VJ, Raghu, L, Singh, VK, Khan, A & Mujeeburahiman, T 2019, 'Robot-assisted management of urological injuries following gynecological surgeries: Our Experience', Journal of SAFOG, vol. 11, no. 1, pp. 61-64. https://doi.org/10.5005/jp-journals-10006-1651

Robot-assisted management of urological injuries following gynecological surgeries : Our Experience. / Texeira, Lynsel; D'souza, Nischith; Kumar, V. Jeevan; Raghu, Lavanya; Singh, Vineet K.; Khan, Altaf; Mujeeburahiman, T.

In: Journal of SAFOG, Vol. 11, No. 1, 01.01.2019, p. 61-64.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Robot-assisted management of urological injuries following gynecological surgeries

T2 - Our Experience

AU - Texeira, Lynsel

AU - D'souza, Nischith

AU - Kumar, V. Jeevan

AU - Raghu, Lavanya

AU - Singh, Vineet K.

AU - Khan, Altaf

AU - Mujeeburahiman, T.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85070414097&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070414097&partnerID=8YFLogxK

U2 - 10.5005/jp-journals-10006-1651

DO - 10.5005/jp-journals-10006-1651

M3 - Article

VL - 11

SP - 61

EP - 64

JO - Journal of SAFOG

JF - Journal of SAFOG

SN - 0974-8938

IS - 1

ER -