Moriel E Z, Meirow D, Zilberman M, Farkas A
Department of Urology, Shaare Zedek Medical Center, Jerusalem, Israel.
Arch Gynecol Obstet. 1993;253(3):127-30. doi: 10.1007/BF02767329.
We describe our experience in treating 16 established cases of vesicovaginal fistulae in non-irradiated bladders which followed obstetric and gynecological procedures. The fistulae, most of which were large and complex, were successfully repaired surgically after two to three months intervals, using the O'Connor transvesical technique. The advantages of late correction using the transvesical approach in such cases are discussed. Thirteen additional cases of accidental bladder injuries during obstetric and gynecological procedures are presented. These injuries were successfully treated by immediate primary sutures. Our experience shows that bladder injuries mainly occur in women who had previously had a Cesarean section.
我们描述了在治疗16例因妇产科手术导致的非放射性膀胱阴道瘘确诊病例中的经验。这些瘘管大多较大且复杂，在间隔两到三个月后，采用奥康纳经膀胱技术成功进行了手术修复。文中讨论了在此类病例中采用经膀胱入路进行晚期修复的优点。还介绍了另外13例在妇产科手术中意外膀胱损伤的病例。这些损伤通过立即进行一期缝合成功治愈。我们的经验表明，膀胱损伤主要发生在既往有剖宫产史的女性身上。
