Rome 2022 – Robotic Vesicovaginal Fistula Repair: Technical Tips

P.C. Giulianotti SUMMARY: The pneumoperitoneum is induced with the Verres needle and 7 trocars are inserted. The right renal hilum is exposed mobilizing the right colon and the duodenum. The renal vein is dissected and retracted to expose the artery. The aneurism is identify and carefully dissected. A graft from the right great safena is harvested and introduced in the abdominal cavity. The aneurism is clamped and opened. The renal artery is finally reconstructed with the “Y-shaped” veno us graft.