Surgical Film Library-Multidisciplinary Approach For Robotic Repair Of Rectovaginal Fistula In A Patient With History Of Rectal Cancer And Failed Previous Endoscopic Repair

Multidisciplinary Approach For Robotic Repair Of Rectovaginal Fistula In A Patient With History Of Rectal Cancer And Failed Previous Endoscopic Repair

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Video Transcription

Video Summary

This case details a robotic-assisted laparoscopic repair of a rectovaginal fistula in a 55-year-old woman with prior rectosigmoid adenocarcinoma and complex surgical history. After failed endoscopic repair attempts, robotic surgery involved fistula excision, bilateral salpingo-oophorectomy, nerve preservation, and layered closure of vaginal and rectal defects. Intraoperative use of indocyanine green and Firefly imaging ensured ureteral safety. The omentum was interposed between rectum and vagina to reinforce repair. The procedure had minimal blood loss and no complications. Postoperatively, the patient recovered well with no fistula recurrence at follow-up visits.

Asset Subtitle

Farr Nezhat, United States

Meta Tag

Procedure Type fistula repair

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

fistula repair

rectovaginal fistula

robotic-assisted laparoscopic surgery

rectosigmoid adenocarcinoma

indocyanine green imaging

omentoplasty