
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Vascular Surgery
- Ophthalmic Surgery
- Thoracic Surgery
- Pediatric Surgery
- Oral and Maxillofacial Surgery
- Otolaryngology - Head and Neck Surgery
- Obstetrics Surgery
- Emergency Surgery
Abstract
Citation: Clin Surg. 2020;5(1):2735.Case Report | Open Access
First Report on Laparoscopic Excision of Ileovesical Fistula and Laparoscopy Assisted Augmentation Ileocystoplasty in Post Radiation Carcinoma Cervix
Sivasankaran Nachimuthu* and Kallappan Senthil
Department of Urology, Ganga Medical Centre and Hospitals Pvt Ltd, Ringgold Standard Institution, Tamil Nadu, India
*Correspondance to: Sivasankaran Nachimuthu
PDF Full Text DOI: 10.25107/2474-1647.2735
Abstract
Urological complication following radiotherapy for carcinoma cervix is about 2%. We present a case of ileovesical fistula which is a rare complication following radiotherapy in carcinoma cervix. Patient presented with complaints of unusual watery diarrhea for the last two weeks, five years following radiotherapy for carcinoma cervix. Computed tomography revealed thick walled bladder with ileovesical fistula with no hydroureteronephrosis. Cystoscopy revealed small capacity bladder with fistulous tract at dome of the bladder. 8 Fr feeding tube was kept across the fistula. This was followed by laparoscopic excision of fistulous tract. Then by a 4-cm sub-umbilical incision the ileal segment with the fistulous tract was excised. Another 10 cm of normally looking proximal ileal segment was isolated, detubularized, pushed back into the peritoneal cavity and wound closed. Reverting back to laparoscopy, augmentation-ileocystoplasty was done using 3-0 barbed sutures. To our knowledge this is the first report of Laparoscopic excision of Ileovesical fistula and Laparoscopy assisted augmentation Ileocystoplasty in post radiation carcinoma cervix.
Keywords
Laparoscopy assisted augmentation Ileocystoplasty; Laparoscopic excision of Ileovesical Fistula; Carcinoma cervix; Radiation
Cite the article
Nachimuthu S, Senthil K. First Report on Laparoscopic Excision of Ileovesical Fistula and Laparoscopy Assisted Augmentation Ileocystoplasty in Post Radiation Carcinoma Cervix. Clin Surg. 2020; 5: 2735..