TRANSVESICAL VESICOVAGINAL FISTULA REPAIR - A REVIVAL

被引:0
作者
MOTIWALA, HG
AMLANI, JC
DESAI, KD
SHAH, KN
PATEL, PC
机构
关键词
FISTULAS; VESICOVAGINAL; OMENTUM; PEDICLED; REIMPLANTATION; URETERAL; FLAP; PERITONEAL;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Vesicovaginal fistulae are usually traumatic in nature, following obstetric or gynecologic trauma. Here, our experience with vesicovaginal fistula repair in 68 cases, performed transvesically (58 cases) or transperitoneally-transvesically, with pedicled omental interposition in 10 cases over the last 8 years is described. The size of fistulae ranged from 1 to 5 cm, and most were situated near or above the trigone. Two cases required ureteric reimplantation. Recurrent fistulae were found in 4 cases. We attribute our success to the simple access, the construction of a vascularized flap, the tension-free grid-iron closure, and the utilization of Vicryl suture.
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页码:24 / 28
页数:5
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