POSTSURGICAL AND POSTIRRADIATION FISTULAS TREATED BY COLPOCLEISIS (in Spanish)
Vesicovaginal and rectovaginal fistulas are a frequent occurrence following radiation treatment for cancer, as well as a sequel to some operative procedures. Five cases of genital fistula, one rectovaginal and four vesicovaginal, were treated by a modified Latzko technique of partial colpocleisis. Four fistulas were due in part to radiation and in part to surgery; one was the result of surgery alone. The modification of surgical technique for repair of vesicovaginal fistulas involves dissection of an outer vaginal sheath originating 3 cm under the fistula opening. The sheath is dissected completely away from the sides of the vagina so that it obtains maximum blood supply. The dissection from the adjacent vaginal layer is carried to within approximates 0.5 cm of the fistula opening. Thus isolated, the sheath is then invaginated into the bladder and sutured to its surface. Absorbable suture material is used to join the bladder surface and a fine metallic thread is used for the central future. The vagina is then closed off from underneath. In all cases a permanently in-dwelling sound was inserted. The rectovaginal fistula was treated in the same way as above, after stopping peristalsis in the colon. The vaginal sheath in this case was invaginated into the rectum thus preventing the formation of a diverticulum. In all cases the results were good, urinary and fecal incontinence disappearing. (BBB)
- Research Organization:
- Originating Research Org. not identified
- NSA Number:
- NSA-18-004954
- OSTI ID:
- 4147310
- Journal Information:
- Prensa Med. Arg., Journal Name: Prensa Med. Arg. Vol. Vol: 49
- Country of Publication:
- Country unknown/Code not available
- Language:
- Spanish
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