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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 (2015). Surgical technique of a recurrent post-radiation vesicovaginal fistula with a small intestine graft. Archives of Gynecology and Obstetrics, 292(3):485-488.

Abstract

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.

Abstract

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.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Gynecology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:September 2015
Deposited On:22 Jan 2016 08:14
Last Modified:21 Nov 2017 23:48
Publisher:Springer
ISSN:0932-0067
Additional Information:The final publication is available at Springer via http://dx.doi.org/10.1007/s00404-015-3754-6
Publisher DOI:https://doi.org/10.1007/s00404-015-3754-6
PubMed ID:25986894

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