Gracilis interposition in fistulas following radiotherapy for cervical cancer. A retrospective study
| Autor: | A. Öbrink, G. Bunne |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Adult
medicine.medical_specialty Necrosis Urology medicine.medical_treatment Fistula Ischemia Uterine Cervical Neoplasms medicine Humans Cytochrome P450 Family 2 Retrospective Studies Cervical cancer Radiotherapy Vesicovaginal Fistula business.industry Muscles Rectovaginal Fistula Retrospective cohort study medicine.disease Surgery Radiation therapy Steroid Hydroxylases Female Aryl Hydrocarbon Hydroxylases medicine.symptom business |
| Zdroj: | Urologia internationalis. 33(5) |
| ISSN: | 0042-1138 |
| Popis: | Irradiation fistulas following treatment for cervical cancer are a great challenge even to a skilled surgeon. Because of ischemia and necrosis around the fistula, repair is possible only by interposition of viable tissue. Interposition of 1 or 2 mm gracilis has been used at Sabbatsberg Hospital since the beginning of the 1950's. 27 vesicovaginal fistulas have been treated with this method, with a cure rate of 60%. The corresponding cure rate for 16 rectovaginal fistulas was 43%. The mean diameter of the fistulas was 2.5 cm. Considering the unfavorable circumstances caused by radiotherapy, in some cases combined with fulguration, these results seem satisfactory. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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