Abdominal sacrohysteropexy for large iatrogenic early postpartum
vesicouterine fistula: An innovative technique
- Roxana Geoffrion
, - Sophia Badowski
Abstract
Sacrohysteropexy is a surgical technique employed for the surgical
treatment of uterine prolapse when uterine preservation is desired.
Vesicouterine fistulae are rare iatrogenic complications of difficult
operative childbirth, typically via caesarean section. If further
childbearing is planned, uterus-sparing fistula closure in layers, with
interposition grafts, has been described. To further decrease recurrence
rates, temporary suspension of the uterus away from the fistula site can
be achieved via sacrohysteropexy with absorbable biologic graft. The
graft eventually resorbs with return of the uterus to its normal pelvic
anatomic location.