Video Library

August 29th, 2013

Using Vascularized Interposition Peritoneal Flap (VIP-flap)

Fistula formation is a potential complication of urinary reconstruction. Tissue interposition can help prevent this complication. However, suitable omentum and epiploica are not always readily available, and exogenous graft material is not desirable. Rotation of a peritoneal flap (VIP-flap) is usually suitable. The peritoneal flap is dissected off the anterior […]

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August 29th, 2013

Creation Vascularized Interposition Peritoneal Flap (VIP-flap)

The peritoneal flap is dissected off the anterior abdominal wall with attempted inclusion of ipsilateral medial umbilical ligament, epigastric artery, and properitoneal fat. The base of the flap spans from the pubic arch to the psoas. To learn how this flap is utilized, view the two following videos: Vesicovaginal Fistula […]

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August 29th, 2013

Vesicovaginal Fistula Dissection

First, an incision is made in the midline of the bladder just above the vagina.  An EEA sizer is used to identify the vagina throughout the dissection.  The bladder incision is extended down to the fistula and then around the fistula.  Additional sharp dissection is performed between the bladder and […]

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