Repair of a vesico-vaginal fistula with amniotic membrane - Step 1 of the IDEAL recommendations of surgical innovation

被引：23

作者：

Barski, Dimitri ^{[1
]}

Gerullis, Holger ^{[1
]}

Ecke, Thorsten ^{[2
]}

Varga, Gabriella ^{[3
]}

Boros, Mihaly ^{[3
]}

Pintelon, Isabel ^{[4
]}

Timmermans, Jean-Pierre ^{[4
]}

Winter, Alexander ^{[5
]}

Bagner, Jens-Willem ^{[1
]}

Otto, Thomas ^{[1
]}

机构：

[1] Lukas Hosp Neuss, Dept Urol, Neuss, Germany

[2] HELIOS Hosp, Dept Urol, Bad Saarow Pieskow, Germany

[3] Univ Szeged, Inst Expt Surg, Szeged, Hungary

[4] Univ Antwerp, Lab Cell Biol & Histol, B-2020 Antwerp, Belgium

[5] Carl von Ossietzky Univ Oldenburg, Sch Med & Hlth Sci, Univ Hosp Urol, Oldenburg, Germany

来源：

CENTRAL EUROPEAN JOURNAL OF UROLOGY | 2015年 / 68卷 / 04期

关键词：

amniotic membrane; vesico-vaginal fistula; IDEAL recommendations;

D O I：

10.5173/ceju.2015.683

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：

Introduction Complex vesico-vaginal fistula (VVF) has a high recurrence rate and so the repair with graft tissues seems to be favorable. Amniotic membrane (AM) plays an increasing role as a scaffold for the repair of defect tissue due to its unique biological properties with regard to promoting wound healing. Material and methods An innovative surgical procedure for AM-assisted repair of a complex vesico-vaginal fistula as the Idea Stage following the IDEAL recommendations is presented. The development of amnion preparation and the involved surgical steps are described. Results We are able to report a successful repair of VVF by abdominal approach with an amniotic membrane graft. Good functional results, no adverse events and no graft rejection have been detected. Conclusions Favorable results confirm the technical simplicity, safety and efficacy of this procedure. Following the IDEAL recommendations, consecutive animal experiments and a cohort study are in progress.

引用

页码：459 / 461

页数：3

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