Role of the Martius procedure in the management of urinary–vaginal fistulas1

Rangnekar, NP; Ali, Nasreen; Kaul, Sanjeev; Pathak, HR

doi:10.1016/s1072-7515(00)00351-3

Cited by 110 publications

(63 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Two patients needed removal of bladder stone, two patients needed ureteroneocystostomy, one patient needed creation of neourethrea and one patient needed colostomy and repair of VVF in same sitting. Success rate of vesico vaginal repair improved by tissue interposition 22 , because omental rich blood supply and has easy mobility can be used transabdominaly to support fistula repair.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital

Ara

Amin²,

Hoque

et al. 2017

Bangladesh J Obstet Gynaecol

View full text Add to dashboard Cite

Introduction:Genitourinary fistula is preventable and in most cases treatable as well. Childbirth injury that leaves women incontinent, ashamed and often isolated from their families and communities. It occurs when a woman suffers from prolonged, obstructed labour without timely access to caesarean section. A debilatiting condition that has left and continues to leavehundreads of thousands of women suffering in speculation and humiliation. It is the most distressing and demoralizing condition that a woman can experience. These unhappy women often become social outcasts. The close anatomical relationship of bladder, rectum, vagina and uterus make the reproductive tract susceptible to fistula formation during complicated childbirth and gynecological surgery. Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVFCenter of a Tertiary Hospital

show abstract

Section: Discussionmentioning

confidence: 99%

Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital

Ara

Amin²,

Hoque

et al. 2017

Bangladesh J Obstet Gynaecol

View full text Add to dashboard Cite

show abstract

“…Daha çok orta ve proksimal böl-geden meydana gelen üretravajinal fistüllerin onarımıyla ilgili olgular bulunmaktadır. Bu operasyonlar Martius veya rektus abdominus flepleri ile yapılan olgulardır [4]. Bu yaklaşımdan başka, Pushkar ve arkadaşlarının yaptığı çalışmada küçük fistüllerin onarımında allogreft veya otogreft uygulanmasının yakın gelecekte mümkün olabileceğinden bahsedilmektedir.…”

Section: Discussionunclassified

Iatrogenic Urethral Defect Repairment: A Case Report

Fidan¹

2014

Ann Clin Anal Med

View full text Add to dashboard Cite

Özetİatrojenik üretral defekt, vajinal cerrahi prosedürlerden sonra ortaya çıkan bir komplikasyondur. Üretranın yaralanması durumunda, defektin yerine göre bir çok cerrahi yöntem tarif edilmiştir. Biz bu makalede, kronik paraüretral bez enfeksiyonu sonrası oluşan granülasyon dokusunun eksizyonuyla ortaya çıkan distal üretral defektin, labia minoradan yapılan greft yardımıyla onarımını sunduk. Anahtar Kelimelerİatrojenik; Üretral Defekt; Onarım AbstractIatrogenic urethral defect is a complication that occurs after vaginal surgical procedures. Many surgical methods according to place of defect are described in case of injury of urethra. In this article, we reported the repairment of distal urethral defect with the help of greft taken from labia minor. This defect is made by the excision of the granulation tissue that occurred after chronic paraurethral gland infection.

show abstract

“…Browning in a interesting study claimed that Martius flap raised in transvaginal repair is of no use in enhancing the success of repair, but the main drawbacks of this study are the retrospective study in which author suggested that flap should only be omitted by experienced fistula surgeons [22]. Rangnekar et al [23] supports the use of Martius flap to increase the success of repair. In laparoscopic VVF repair the experience of intracorporeal suturing varies from surgeon to surgeon and the outcome of fistula surgery also depends upon on nature of fistula e.g.…”

Section: Discussionmentioning

confidence: 99%

Transperitoneal Transvesical Laparoscopic Repair of Vesicovaginal Fistulae: Experience of a Tertiary Care Centre in Northern India

Singh¹,

Sinha²,

Mehrotra³

et al. 2013

Current Urology

View full text Add to dashboard Cite

Objective: To present our experience of treating supratrigonal vesicovaginal fistulae by laparoscopic technique and their long-term follow-up. Material and Methods: Between January 2008 and June 2012, 28 cases of supratrigonal fistulas were repaired by laparoscopic transperitoneal transvesical technique with interposition flap. The obstetric fistula was present in 18 and gynecologic fistula in 10 patients. Single supratrigonal fistula was present in 26 patients and in 2 patients there were 2 fistulae lying side to side. The vaginal opening was closed as single layer interrupted suture and cystotomy closed as single layer continuous suture by 3-0 polygalactin. The omentum was used as interposition flap in all except 2 cases in whom postero-superior vesical fold of peritoneum was used. The open conversion was required in 2 cases. The urethral catheter was removed in 4 weeks following a micturating cystogram. Result: The mean fistula size was 1.2 cm (range 0.8-2.5 cm). Open conversion was performed in 2 cases of whom one had excess carbon-dioxide retention and cardiac arrhythmia and in another case the needle of 3-0 polygalactin was avulsed and lost in peritoneal cavity which was recovered following laparotomy. All patients were continent following the catheter removal. The median follow-up is 24 months. None developed any complication related to laparoscopic repair till last follow-up. Conclusion: Laparoscopic repair of supratrigonal vesicovaginal fistulae is an effective and safe minimally invasive treatment with excellent result.

show abstract

Role of the Martius procedure in the management of urinary–vaginal fistulas1

Cited by 110 publications

References 12 publications

Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital

Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital

Iatrogenic Urethral Defect Repairment: A Case Report

Transperitoneal Transvesical Laparoscopic Repair of Vesicovaginal Fistulae: Experience of a Tertiary Care Centre in Northern India

Contact Info

Product

Resources

About