THE OMENTUM AS REPAIR MATERIAL FOR THE BLADDER WALL AFTER RADIATION-INDUCED VESICOVAGINAL FISTULAS

TL;DRAbstract

It is suggested that the omentum is useful for plastic repair of the bladder in cases of radioinduced vaginal fistulas of the bladder. This method requires no suture of the plastic repair material to the bladder; sutures are the critical factor in other surgical interventions for bladder fistulas, nor does the technique require extensive separation of the bladder from the subjacent tissue. Since the plastic material generously overlaps the aperture of the fistula on all aides, it is not necessary to wait for the fistula to develop fully. For large fistulas, reaching the aperture of the ureter, this operation offers the best solution: other complicated interventions, such as ureterocystostomy, unphysiologic methods, or implantation of the urethra in the colon, can be avoided. Since the technique does not require use of the wall of the bladder for closure of the fistula, it can be used in nearly all recurrent cases, even after other surgical methods have failed. In the case of fistulas c

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