<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1012-2966</journal-id>
<journal-title><![CDATA[Gaceta Médica Boliviana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Med Bol]]></abbrev-journal-title>
<issn>1012-2966</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina de la Universidad Mayor de San Simón]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1012-29662022000200174</article-id>
<article-id pub-id-type="doi">10.47993/gmb.v45i2.17</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resección de fístula vesico-vaginal por vía laparoscópica, con abordaje extravesical]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic resection of vesico-vaginal fistula, with extravesical approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Rocha]]></surname>
<given-names><![CDATA[Vladimir Erik]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Los Ángeles Sección Laparoscopia y mínima invasión ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<fpage>174</fpage>
<lpage>177</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1012-29662022000200174&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1012-29662022000200174&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1012-29662022000200174&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La fístula vesico-vaginal es la fístula adquirida más común de las vías urinarias; su principal manifestación es la salida de orina por vía transvaginal. Una fístula representa una comunicación anormal entre dos superficies epitelizadas. La clasificación de fístulas se basa en el órgano de origen en el tracto urinario y el punto de terminación de la fístula. La incontinencia urinaria debida a la formación de una fistula supone un importante problema higiénico, psicológico y social para la paciente, debido a la continua sensación de humedad, olores indeseables, infecciones vaginales, vesicales y a la incapacidad laboral y social que le condiciona. Paciente de 44 años de edad, antecedente de histerectomía, por dismenorrea y miomas uterinos, con pérdida de orina transvaginal 4 semanas posteriores a la cirugía, se realiza reparación de fistula 4 meses posteriores a su cirugía, se realiza por abordaje laparoscópico transperitoneal, por 4 puertos, con un seguimiento a 6 meses, con resolución completa, sin recurrencia, con sangrado mínimo, actualmente sin catéteres, con función genital y urinaria normal, con adecuada continencia urinaria. El abordaje laparoscópico es una excelente alternativa, aunque se requiere experiencia en cirugía laparoscópica pélvica, con el beneficio para el paciente, de recuperación rápida, con menor dolor y sangrado, por esto creemos que con practica y paciencia es perfectamente realizable este tipo de abordaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The vesicovaginal fistula is the most common acquired fistula of the urinary tract; its main manifestation is the release of urine through the vagina. A fistula represents an abnormal communication between two epithelialized surfaces. The classification of fistulas is based on the organ of origin in the urinary tract and the end point of the fistula. Urinary incontinence due to the formation of a fistula is a major hygienic, psychological, and social problem for the patient, due to the continuous feeling of moisture, unpleasant odors, vaginal and bladder infections, and the inability to work and socialize that it conditions. The patient is 44 years old, with a history of hysterectomy for dysmenorrhea and uterine fibroids, with loss of vaginal urine 4 weeks after surgery, a repair of the fistula is performed 4 months after surgery, using a laparoscopic transperitoneal approach through 4 ports, with a follow-up at 6 months, with complete resolution, without recurrence, with minimal bleeding, currently without catheters, with normal genital and urinary function, with adequate urinary continence. Laparoscopic approach is an excellent alternative, although it requires experience in pelvic laparoscopic surgery, with the benefit for the patient of rapid recovery, with less pain and bleeding, which is why we believe that with practice and patience this type of approach is perfectly feasible.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fistula]]></kwd>
<kwd lng="es"><![CDATA[laparoscopía]]></kwd>
<kwd lng="es"><![CDATA[vagina]]></kwd>
<kwd lng="es"><![CDATA[vejiga]]></kwd>
<kwd lng="en"><![CDATA[fistula]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[vagina]]></kwd>
<kwd lng="en"><![CDATA[bladder]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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