Hibbard L T
Am J Obstet Gynecol. 1978 Jan 15;130(2):139-41. doi: 10.1016/0002-9378(78)90355-1.
Twenty-four patients with traumatic rectovaginal fistulas and 27 patients with complete perineal tears underwent secondary operative repair. Primary healing occurred in 50 cases and partial healing in the 51st case. Six patients had previously undergone one to three unsuccessful repairs. The advisability of early repair and the benefits of prophylactic antibiotics and of use of a Martius graft for operative failures are discussed.
24例创伤性直肠阴道瘘患者和27例完全性会阴撕裂患者接受了二期手术修复。50例实现一期愈合，第51例部分愈合。6例患者此前曾经历过一至三次修复手术但均未成功。文中讨论了早期修复的可行性、预防性使用抗生素的益处以及对于手术失败采用马蒂厄皮瓣的好处。
