Zerbib M, Chiche R, Steg A
Clinique Urologique, Hôpital Cochin, Paris.
J Chir (Paris). 1988 Nov;125(11):657-60.
The authors describe a modification of technique which improves the exposure of vesico-vaginal fistulas treated surgically by a low approach. The patient is placed in a ventral horizontal position with the thighs in abduction, and the buttocks spread apart. With the patient installed in this way, care is facilitated by more anatomical technique. Using this installation it is possible to close the fistula by simple suture (Chassar-Moir) or with interposition of the labium majus (Martius autoplasty).