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KMID : 0376119760030020130
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Medical Journal of the Red Cross Hospital
1976 Volume.3 No. 2 p.130 ~ p.134
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Clinical Obiervation of the vesicovaginal fistula
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朴信根/Park, Shin-Keun
李仁哲/李愚溶/李順杓/Lee, In-Chul/Lee, Yoo-Yong/Lee, Sun-Pyo
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Abstract
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Vesicovaginal fistula is the most common type of urinary fistula.
We experienced vesicovaginal fistula after total hysterectomy due- to dysfunctional uterine bleeding. The most common cause of urinary fistula,tis operative accidents, especially total abdominal hysterectomy.
General principles for management of vesicovaginal fistula is described.
1. Full urologic study and diagnosis.
2. Elimination of infection and contamination, and so having the tissues in as good condition as possible.
3.Optimal time of operation about 6 months after fistula developed.
4. Preoperative cystoscopic examination.
5. For good outcome, sufficient exposure of operative field, wide area. of demarcation, sufficient immobilization of the bladder and separate closure of vaginal incision without tension.
6. Postoperative drainage of the bladder.
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