العلاج الجراحي للناسور المثاني المهبلي: النهج عبر البطن

References

1. A transabdominal approach, including open, laparoscopic, and robotic-assisted laparoscopic techniques, is the second most common approach to VVF surgical treatment.
2. The transabdominal approach may be performed using either a transvesical or extravesical technique.
3. The traditionally performed technique is the transvesical bivalve bladder technique (O'Conor technique).
4. Although omental flap interposition is not routinely performed, it should be performed in patients with recurrent VVFs, large fistulas, irradiated tissue, or obstetric fistulas.