Description

Vesicovaginal fistula (VVF) remains one of the most distressing complications for women, often resulting in continuous urinary leakage that profoundly impacts quality of life. In modern surgical practice, laparoscopic repair has emerged as a safe, minimally invasive, and highly effective technique for restoring both anatomy and dignity to affected patients. In his lecture on Laparoscopic Vesicovaginal Fistula Repair, Dr. R. K. Mishra, a globally renowned laparoscopic and robotic surgeon, brings his decades of expertise to explain the nuances of this advanced procedure. The session, held at World Laparoscopy Hospital, is designed not only for practicing gynecologists and urologists but also for postgraduate students who wish to deepen their understanding of minimally invasive fistula surgery. Dr. Mishra highlights the etiology of VVF, commonly linked to prolonged obstructed labor, hysterectomy complications, and pelvic surgeries. He then walks participants through the diagnostic protocols, including cystoscopy and imaging, that ensure precise localization of the fistula before surgical intervention. The core of the lecture focuses on the laparoscopic repair technique. Dr. Mishra elaborates on key steps such as: Careful dissection of the bladder and vaginal walls. Meticulous closure of the fistula tract with layered suturing. Interposition of omental or peritoneal flaps to strengthen repair and prevent recurrence. Using high-definition surgical videos, he demonstrates how laparoscopic visualization offers magnification, precision, and reduced blood loss compared to traditional open methods. The lecture also emphasizes patient selection, timing of surgery, and postoperative care, which are crucial for optimal outcomes. Participants gain valuable insights into suture materials, energy sources, ergonomics, and complication management in laparoscopic VVF repair. Dr. Mishra further discusses long-term success rates, patient recovery, and how minimally invasive approaches significantly reduce hospital stay and improve postoperative comfort. This lecture stands as an important educational resource for surgeons worldwide, blending academic knowledge with practical surgical wisdom. By sharing his unparalleled experience, Dr. R. K. Mishra continues to train and inspire the next generation of laparoscopic surgeons, making minimally invasive solutions accessible to women suffering from this challenging condition.