■ Laparoscopy is a viable alternative to open surgical repair of vesicovaginal fistulas.

■ Advantages of the laparoscopic approach include magnification during the procedure, and shorter hospital stay and postoperative recovery.

■ The fistula is resected under direct visualization and a tension-free reconstruction is performed.

■ Based on limited number of case reports on laparoscopic vesicovaginal fistulas repair, it appears to be a safe and effective approach for fistulas that cannot be repaired vaginally.

■ Undoubtedly, operative laparoscopy will replace most laparotomies in gynecologic surgery, it is only a matter of time.

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