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Abdominal sacrohysteropexy for large iatrogenic early postpartum vesicouterine fistula: An innovative technique
  • Roxana Geoffrion,
  • Sophia Badowski
Roxana Geoffrion
The University of British Columbia

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Sophia Badowski
The University of British Columbia
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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.