Transvesical vesicovaginal fistula repair: a revival
Autor: | Ketan D. Desai, Jitendra C. Amlani, K.N. Shah, Patel Pc, Hanif G. Motiwala |
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Rok vydání: | 1991 |
Předmět: |
medicine.medical_specialty
Urology Fistula medicine.medical_treatment Vicryl suture Hysterectomy Vesicovaginal fistula Surgical Flaps Pregnancy Recurrence medicine Trigone of urinary bladder Humans Ureteric reimplantation Urinary bladder Vesicovaginal Fistula business.industry Cesarean Section Suture Techniques medicine.disease Surgery medicine.anatomical_structure Female business |
Zdroj: | European urology. 19(1) |
ISSN: | 0302-2838 |
Popis: | 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. |
Databáze: | OpenAIRE |
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