J4 ›› 2010, Vol. 9 ›› Issue (2): 61-62.

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Analysis of 38 Cases of Surgical Repair of Vesico-vaginal Fistula Caused by Total Hysterectomy

  

  1. Maternal and Child Care Service Centre of Dali Prefecture, Dali, Yunnan 671000, China
  • Received:2010-01-07 Online:2010-02-15 Published:2010-02-15

Abstract:

Objective: To explore the etiopathogenesis, prevention and treatment of vesico -vaginal fistula caused by total
hysterectomy. Method: Collecting 38 cases of vesico-vagninal fistula caused by total hysterectomy and performed repair operation, analyzing their etiopathogenesis, prevention and treatment. Result: The unclear anatomy and incorrect operative procedure are the main causes of vesico-vaginal fistula. 35 cases of first grade recovered; 3 cases of second grade recovered. In the eighteen-month fellow up, it is shown that the cure rate is 92.11%. Conclusion: It is a reasonable operation approach to do extra-periponeal and extra-bladder repair for high site of vesico-vaginal fistula.

Key words: hysterectomy, vesico-vaginsl fistula, prevention, treatment

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