Martius' labial fat pad interposition and its modification in complex lower urinary fistulae.
J Postgrad Med
;
1999 Jul-Sep; 45(3): 69-73
Artigo
em Inglês
| IMSEAR
| ID: sea-115607
ABSTRACT
OBJECTIVE:
To assess the results of Martius' labial fat pad interposition and its modification using skin island in the repair of giant and recurrent vesicovaginal and urethrovaginal fistulae. PATIENTS ANDMETHODS:
Fifteen patients of urethrovaginal and vesicovaginal fistulae underwent Martius' labial fat pad interposition and its skin island modification during 1996 to 1999. Ten of these were recurrent (66%) and five were giant fistulae (34%) i.e. more than five cms.RESULTS:
Results were very gratifying with a successful repair in 14 patients (93%). Two patients had transient, low-grade stress incontinence, which did not need any additional procedure. In one patient, there was failure of repair, which was later successfully repaired using fat pad from opposite labia.CONCLUSION:
Martius' fat pad interposition provides vascularity and surface for epithelialisation and also prevents overlapping of vesical/urethral and vaginal suture lines. Martius' repair has good results with low morbidity in the treatment of giant and recurrent urethrovaginal and vesicovaginal fistulae.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Recidiva
/
Retalhos Cirúrgicos
/
Doenças Uretrais
/
Feminino
/
Humanos
/
Fístula Urinária
/
Fístula Vesicovaginal
Idioma:
Inglês
Revista:
J Postgrad Med
Ano de publicação:
1999
Tipo de documento:
Artigo
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