网膜瓣修补膀胱阴道瘘失败，随后在无网膜瓣的情况下通过腹腔镜进行修复。
Failed omental flap vesicovaginal fistula repair subsequently repaired laparoscopically without an omental flap.
作者信息
Miklos John R, Moore Robert D
机构信息
Atlanta Urogynecology Associates, Atlanta, GA, USA.
出版信息
Female Pelvic Med Reconstr Surg. 2012 Nov-Dec;18(6):372-3. doi: 10.1097/SPV.0b013e3182751139.
BACKGROUND
Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap.
CASE
A 52-year-old woman with a history of cystotomy repair at the time of hysterectomy and a subsequent abdominal omental flap vesicovaginal fistula repair failure underwent a successful repair using a laparoscopic-layered closure of her fistula without omental flap.
CONCLUSION
A failed omental flap vesicovaginal fistula repair can be repaired laparoscopically and without an omental flap.
背景
传统观点认为，血管间置皮瓣有助于治疗所有膀胱阴道瘘患者。复杂的瘘管通常采用网膜间置皮瓣治疗；然而，在未使用其他间置皮瓣的情况下，网膜瓣修复失败的情况尚未见报道。
病例
一名52岁女性，子宫切除时曾行膀胱切开术修复，随后腹部网膜瓣膀胱阴道瘘修复失败，此次采用腹腔镜分层闭合瘘管且未使用网膜瓣，手术成功。
结论
网膜瓣膀胱阴道瘘修复失败后可通过腹腔镜且不使用网膜瓣进行修复。
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