Bockrath J M, Nanninga J B, Lewis V L, Grayhack J T
J Urol. 1981 Feb;125(2):246-8. doi: 10.1016/s0022-5347(17)54989-7.
There are few reports on extensive suprapubic vesicocutaneous fistulas. We report the problems encountered in the closure of these fistulas following lower abdominal trauma. Two patients are described in whom the trauma produced extensive loss of skin, fascia and muscle, leaving the bladder exposed and open. Despite several attempts at bladder closure the bladder repair always failed and the fistula remained open. It was necessary to cover the subsequent bladder closure with overlying muscle, fascia and skin to obtain a successful closure. The techniques of closure are explained.
关于广泛性耻骨上膀胱皮肤瘘的报道较少。我们报告了在下腹部创伤后闭合这些瘘管时遇到的问题。描述了两名患者，其创伤导致皮肤、筋膜和肌肉大面积缺失，膀胱暴露且开放。尽管多次尝试闭合膀胱，但膀胱修复总是失败，瘘管仍未愈合。为了成功闭合，有必要用覆盖其上的肌肉、筋膜和皮肤覆盖后续的膀胱闭合处。文中解释了闭合技术。
