Gracilis interposition in fistulas following radiotherapy for cervical cancer. A retrospective study.
作者信息
Obrink A, Bunne G
出版信息
Urol Int. 1978;33(5):370-6. doi: 10.1159/000280225.
PMID:705987
Abstract
Irradiation fistulas following treatment for cervical cancer are a great challenge even to a skilled surgeon. Because of ischemia and necrosis around the fistula, repair is possible only by interposition of viable tissue. Interposition of 1 or 2 mm gracilis has been used at Sabbatsberg Hospital since the beginning of the 1950's. 27 vesicovaginal fistulas have been treated with this method, with a cure rate of 60%. The corresponding cure rate for 16 rectovaginal fistulas was 43%. The mean diameter of the fistulas was 2.5 cm. Considering the unfavorable circumstances caused by radiotherapy, in some cases combined with fulguration, these results seem satisfactory.
摘要
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