Interposing layer of fibrin glue: A new horizon in vesico-vaginal fistula repair

Abstract

Aim:

In this study our idea is to compare the effectiveness of using interposing layer of fibrin glue to omental flap in reducing the failure of laparoscopic vesicovaginal fistula repair.

Methods:

Forty patients with fairly large vesicovaginal fistula were enrolled and divided in two groups of 20 each. We have used fibrin glue in one group and omental flap in the other group.

Result:

Of 20 patients in fibrin glue group no failure was seen, while 5 patients out of 20 in omental flap group had failure.

Conclusion:

This result is statistically significant and hence use of fibrin glue to be considered during laparoscopic repair of vesicovaginal fistulas.