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Surgical technique of a recurrent post-radiation vesicovaginal fistula with a small intestine graft

Vaso, Martin ; Betschart, Cornelia ; Egger, Herwig ; Fink, Daniel ; Schmidt, Ana-Maria

In: Archives of Gynecology and Obstetrics, 2015, vol. 292, no. 3, p. 485-488

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    Titel
    • Surgical technique of a recurrent post-radiation vesicovaginal fistula with a small intestine graft
    Autor
    • Vaso, Martin. Department of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    • Betschart, Cornelia. Department of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    • Egger, Herwig. Department of Obstetrics and Gynecology, Clinic Neumarkt, Neumarkt, Germany
    • Fink, Daniel. Department of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    • Schmidt, Ana-Maria. Department of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • Archives of Gynecology and Obstetrics, 2015, vol. 292, no. 3, p. 485-488. Springer Berlin Heidelberg
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:331986
    Summary
    Vesicovaginal fistulas are devastating conditions for the affected women. The combination of a hysterectomy and radiation increases the fistula risk 5-10 times. Radiation-induced recurrent vesicovaginal fistulas have the lowest success rate and require the most demanding treatment. We present the case of a recurrent post-radiation vesicovaginal fistula treated with a small intestine graft after unsuccessful conservative and failed previous operative treatments. The surgical management with a small intestine graft led to a permanently closed fistula. We describe the surgical abdominal procedure step-wise and review the rather scarce, post-radiation fistula literature. The closure of a vesicovaginal fistula with a small intestine graft is a complex surgical treatment with a long-term, successful result.