The Repair of Extensive Vesicovaginal Fistulas with Pedicled Omentum: A Review of 27 Cases

Vesico vaginal fistula

“…Various tissue flaps have been described as interposition grafts to minimize the failure of VVF repair. Pedicled gracilis muscle flap (Garlock in 1928) (6), pedicled bulbocavernosus flap (Maritius in 1928) (7) and pedicled omental flaps (Kiricuta and Goldstien in 1972) (8) are important flaps among them.…”

“…Transperitoneal route allows to harvest the interpositional omentum pedicle graft for repair. Omentum graft is secured between the bladder and the vagina using absorbable sutures (8). Other types of grafts which have been used include peritoneal flaps, rectus abdominis muscle flap and autologous bladder mucosa interposition graft.…”

Laparoscopically harvested omental flap: results for 96 patients

“…Since then, many applications for the omentum have been reported because it protects against infection and ischemia. Kiricuta [2,3] was the first to use pedicled omental flaps for a range of indications. Surprisingly, various new indications (e.g., chronic spinal cord injury and Alzheimer's disease) also have emerged [4].…”

Urovaginal Fistulae: 20 Years' Experience

“…It was noticed that gynaecologically or surgically in duced fistulae showed little fibrosis, good supple tissue and easy dissection of the flaps to be repaired. Hence they are easy to be corrected by simple closure with or without flap interposition [3,4]. On the other hand, obstetric fistu lae showed more fibrosis and absence of supple tissue.…”