阴道穹窿膀胱阴道瘘的拉茨科手术

Latzko operation for vault vesicovaginal fistula.

作者信息

Ansquer Yan, Mellier George, Santulli Pietro, Bennis Malika, Mandelbrot Laurent, Madelenat Patrick, Carbonne Bruno, Mathevet Patrice

机构信息

Service de Gynécologie Obstétrique, Hôpital Saint Antoine, 184 rue du Faubourg, St Antoine, 75571, Paris Cedex 12, France.

出版信息

Acta Obstet Gynecol Scand. 2006;85(10):1248-51. doi: 10.1080/00016340600804589.

DOI:10.1080/00016340600804589

PMID:17068685

Abstract

BACKGROUND

Various surgical procedures are currently performed for the treatment of posthysterectomy vesicovaginal fistula. Most of them are carried out via an abdominal incision.

OBJECTIVE

Report of our experience with Latzko's operation, a simple purely transvaginal procedure.

METHODS

Retrospective study of vesicovaginal fistulas treated by a Latzko procedure between June 1991 and June 2005.

RESULTS

Eleven patients were operated on. Two (18%) had a prior failed attempt of vesicovaginal fistula repair. Mean size of the fistulas was 12+/-11 mm (range: 2-40 mm). Mean operative duration was 62+/-33 min (range: 20-110 min). All fistulas healed. No intraoperative complications were observed. There was only one postoperative complication, a lower urinary tract infection in one patient. Mean hospital stay was 6+/-4 days (range: 2-12 days).

CONCLUSIONS

The Latzko procedure is an efficient, safe, and simple technique for the management of vault vesicovaginal fistulas, and can therefore be proposed as the first-line surgical treatment.

摘要

背景

目前有多种外科手术用于治疗子宫切除术后膀胱阴道瘘。其中大多数是通过腹部切口进行的。

目的

报告我们采用Latzko手术（一种简单的单纯经阴道手术）的经验。

方法

对1991年6月至2005年6月间采用Latzko手术治疗的膀胱阴道瘘进行回顾性研究。

结果

11例患者接受了手术。2例（18%）先前膀胱阴道瘘修复尝试失败。瘘管平均大小为12±11毫米（范围：2 - 40毫米）。平均手术时长为62±33分钟（范围：20 - 110分钟）。所有瘘管均愈合。未观察到术中并发症。仅1例术后并发症，1例患者发生下尿路感染。平均住院时间为6±4天（范围：2 - 12天）。