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Year : 1997  |  Volume : 13  |  Issue : 1  |  Page : 24-28

Repair of complex vesicovaginal interposition : a different design fistulas using peritoneal flap

Department of Urology, Seth GS Medical College, Mumbai, India

Correspondence Address:
S V Punekar
Department of Urology, Seth GS Medical College, Mumbai
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Source of Support: None, Conflict of Interest: None

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The surgical repair of complex vesicovaginal fistulae (WF) necessitates the use of adjunctive measures to improve success rate. Twenty-three patients, age 19 to 45 years with complex WF (11 recurrent, 10 large and 2 multiple) underwent abdominal repair with peritoneal flap interposition. An inverted 'U'-shaped flap of adequate size was developed from peritoneum covering bladder dome and was tacked to vaginal suture line after excision and closure of WF. The successful repair was achieved in 83 percent obstetric and 90 percent post- hysterectomy fistulae. Two conceptions are reported 4 and 13 months after surgery. This paper presents the technique and experience in managing 23 patients with complex vesicovaginal fistulae, using peritoneal flap interposition.

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