Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Nil Ratan Sircar Medical College, Kolkata, West Bengal, India.
Urologia. 2022 Aug;89(3):484-487. doi: 10.1177/03915603211004748. Epub 2021 Mar 26.
In this study our idea is to compare the effectiveness of using interposing layer of fibrin glue to omental flap in reducing the failure of laparoscopic vesicovaginal fistula repair.
Forty patients with fairly large vesicovaginal fistula were enrolled and divided in two groups of 20 each. We have used fibrin glue in one group and omental flap in the other group.
Of 20 patients in fibrin glue group no failure was seen, while 5 patients out of 20 in omental flap group had failure.
This result is statistically significant and hence use of fibrin glue to be considered during laparoscopic repair of vesicovaginal fistulas.
本研究旨在比较在腹腔镜膀胱阴道瘘修补术中使用纤维蛋白胶夹层与网膜瓣的效果,以减少手术失败的风险。
将 40 例膀胱阴道瘘较大的患者分为两组,每组 20 例。一组使用纤维蛋白胶,另一组使用网膜瓣。
纤维蛋白胶组 20 例患者中无手术失败,而网膜瓣组 20 例中有 5 例手术失败。
该结果具有统计学意义,因此在腹腔镜膀胱阴道瘘修补术中应考虑使用纤维蛋白胶。