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KMID : 0358319830240040649
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Korean Journal of Urology
1983 Volume.24 No. 4 p.649 ~ p.652
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Clinical Observation of the Vesicovaginal Fistulas
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김영곤/Kim YG
박영경/Park YK
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Abstract
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A clinical observation of the vesicovaginal fistulas was made on 15 cases admitted to the Department of Urology, Jeonbug National University Hospital during the last 4 years. The following results were obtained.
1. The causative factors of the vesicovaginal fistula were birth trauma (7 cases), chemical cauterization due to prolapse uteri (6 cases), traffic accident (1 case) and cervical cancer (1 case).
2. Over all success rate of vesicovaginal fistula repair was 80 % at one attempt.
3. More extensive procedure using transperitoneal extravesical approach with interposition of the pedicled omental graft was necessary for the repair of large and complicated fistula and showed excellent result.
4. Waiting for the acute reaction to subside adequately, having no tension in the closure, obtaining adequate exposure, trimming the fistulous edges back to good tissue and adding a temporary urinary diversion turned out to be main factors of the operative success.
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