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).
作者描述了一种技术改良方法,该方法可改善经低位手术治疗的膀胱阴道瘘的暴露情况。患者取腹卧位,双腿外展,臀部分开。以这种方式安置患者,通过更符合解剖学的技术便于操作。采用这种安置方式,可以通过简单缝合(查萨尔 - 莫伊尔法)或插入大阴唇(马蒂厄自体成形术)来闭合瘘管。