Evidence map›Paper›PMID 39945789›Full record

ArticleArchives of gynecology and obstetrics2025

Robot-assisted vesicovaginal fistula repair with "Rainbow-shaped" peritoneal flap: a single-center experience.

Yang Yang, Huang Chenchen, Wu Shiliang, Chen Yuke, Shen Cheng

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yang Yang *Department of Urology, Peking University First Hospital, No. 8 Xi Shi Ku St., Xicheng District, Beijing, 100034, China.
Huang Chenchen *Department of Urology, Peking University First Hospital, No. 8 Xi Shi Ku St., Xicheng District, Beijing, 100034, China.
Wu ShiliangDepartment of Urology, Peking University First Hospital, No. 8 Xi Shi Ku St., Xicheng District, Beijing, 100034, China.
Chen YukeDepartment of Urology, Peking University First Hospital, No. 8 Xi Shi Ku St., Xicheng District, Beijing, 100034, China.
Shen ChengDepartment of Urology, Peking University First Hospital, No. 8 Xi Shi Ku St., Xicheng District, Beijing, 100034, China. shencheng@263.net.

Funding

Beijing Natural Science Foundation No 7244419.
6 · The paper itself

Abstract

purposeVesicovaginal fistula (VVF) refers to an abnormal communication between the bladder and vagina, leading to uncontrolled leakage of urine from the vagina. This study aimed to assess the efficacy and safety of robot-assisted laparoscopic VVF repair with a "rainbow-shaped" peritoneal flap.

methodsA retrospective analysis was conducted on 15 patients who underwent robot-assisted VVF repair from July 2021 to March 2023 in Peking University First Hospital. The patient cohort included 1 patient who had undergone abdominal total hysterectomy, 11 patients who had laparoscopic total hysterectomy, 1 patient who had cervical conization, and 2 adolescents with residual intravaginal foreign bodies.

resultsSeven had a history of failed VVF repair, while 8 underwent primary repair. The mean operative time was 137 (range 92-182) min, and the mean hospital stay was 4.9 (range 4.3-5.5) days. Surgical blood loss was minimal, averaging 14 (range 6-22) ml. The fistula was located supratrigonal in 14 patients and in the triangle area in one patient. In the vagina, the fistulas were located at the stump in 12 patients, at the anterior vaginal wall in one patient, and at the vaginal wall with partial involvement of the cervix in two patients. All procedures were successfully completed without the need for open conversion. All 15 patients achieved successful repair, with no complications reported during the mean follow-up period of 7.8 months.

conclusionRobot-assisted laparoscopic repair with a "rainbow-shaped" peritoneal flap for VVF is an effective, safe, and highly successful technique.

Indexed as

LaparoscopyRobotic Surgical ProceduresSurgical FlapsVesicovaginal FistulaAdolescentAdultAgedFemaleHumansLength of StayMiddle AgedOperative TimePeritoneumRetrospective StudiesTreatment OutcomeFlapRepairRobot-assisted laparoscopyVesicovaginal fistula

Identifiers

PMID39945789
PMCPMC12055888

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.