Indications of Lap VVF repair are: Sufficient expertise in Pelvic Laparoscopy, high apical fistula, supra-trigonal location of fistula
and large fistula requiring interposition omental graft. The key advantages of the procedure are; 1. Avoids morbidity of laparotomy, 2. maintains vaginal length, 3. allows significant better visualization and 4. improves outcomes in certain group of patients.
https://www.youtube.com/embed/6UqBD9YpxZM?si=h0GY_t18zLRIgDbm
