O'Conor V J
Trans Am Assoc Genitourin Surg. 1979;71:120-2.
Experience with suprapubic closure of vesicovaginal fistulas in 42 patients considered candidates for this procedure is reviewed. Five patients required a second operation for cure and the reasons for failure are discussed. Wide exposure with tension-free closure of well vascularized flaps and the judicious interposition of pedicled omentum have produced the most encouraging results. The litigious nature of this distressing condition is lessened when primary closure is successful and supravesical diversion by ileal or colonic conduits can be avoided.
回顾了42例被认为适合耻骨上膀胱阴道瘘修补手术患者的手术经验。5例患者需要二次手术才能治愈，并对失败原因进行了讨论。充分暴露、无张力缝合血运良好的皮瓣以及明智地置入带蒂大网膜取得了最令人鼓舞的效果。当一期修补成功且可避免回肠或结肠导管进行膀胱上分流时，这种令人痛苦疾病的诉讼性质就会减轻。
