Goh Judith, Krause Hannah
Griffith University, Gold Coast, Australia.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 May;19(5):677-80. doi: 10.1007/s00192-007-0505-7. Epub 2007 Dec 12.
Obstetric fistulae vary significantly in size, location and condition of surrounding tissues. Traditional description of a genito-urinary fistula repair involves a fistula located in the midline of the vaginal wall, with minimal scarring or adhesions of the bladder/urethra to the surrounding vagina or pubic bone. Obstetric fistulae are often associated with significant scarring, situated laterally with adhesions to the pubic bone. This increases the difficulty in mobilising the bladder and in securing the lateral angles of the fistula during surgery. This paper describes a method to improve access to the laterally situated fistulae and thus facilitate surgical closure.
产科瘘管在大小、位置及周围组织状况方面差异显著。传统的泌尿生殖瘘修补术描述的是位于阴道壁中线的瘘管，膀胱/尿道与周围阴道或耻骨的瘢痕形成或粘连极少。产科瘘管常常伴有明显的瘢痕形成，位于侧面且与耻骨粘连。这增加了手术中游离膀胱以及固定瘘管外侧角的难度。本文描述了一种改善对位于侧面的瘘管的显露从而便于手术闭合的方法。
