The occurrence of relapses at the end of surgery because of vesico-vaginal fistula with different accesses is due, in our practical view, not only by the constant presence of infected urine in the area of the fistula, but also because of the peculiarities of the anatomical structure of the posterior wall of the bladder that is devoid of peritoneum, which has a powerful regenerative and plastic properties.
We, like most authors, he realized that even the most thorough hermetic closure of vesico-vaginal fistula in the area where there is no peritoneum, not always guarantee protection against possible insolvency of the seams or unpleasant recurrence of fistulas.
And often it never happens insolvency seams and education recurrent fistula after the closure of certain defects in the bladder wall, which are located in the area covered by the peritoneum.
Thus, fistulas are of great scientific and practical interest to the proposals of the authors, which aims to improve outcomes fistulography offer this operation to use the peritoneum to peritoneal the seam lines on the back wall of the bladder.
In the clinic of urology of the Kalinin medical Institute to improve results for operative treatment of patients with vesico-vaginal fistula, in 1972, developed an original method fistulography — transvesical plastic surgery vesico-vaginal fistula using graft of peritoneum.
Of 142 patients with vesico-vaginal fistula who were in urologicheskoe clinic Kalinin medical Institute from 1972 to 1985, the transvesical method of plasty of the fistula using a special flap of peritoneum was used in 22. The remaining 120 patients were operated on conventional razvlekatelnym and transvesical access.
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