scholarly journals Surgical treatment of large vesicovaginal fistulas

2020 ◽  
Vol 8 (7-8) ◽  
pp. 692
Author(s):  
V. Strogonov

In view of the frequent failure of the Simon's method in the treatment of large vesicovaginal fistulas, recently some have proposed to achieve healing with the help of gluttony.

2020 ◽  
Vol 8 (6) ◽  
pp. 513-517
Author(s):  
D. Ott

One of the most thankless tasks in the work of a gynecologist is the fight against such forms of violation of the integrity of the urinary bladder, which are complicated by the destruction of the entire urethra or most of it. There are often cases when even a completely successful plastic surgery in the area of the disturbed vesicovaginal septum does not bring relief to patients due to defects in the area of the urinary canal.


2017 ◽  
Vol 16 (11) ◽  
pp. e2852
Author(s):  
T. Hanuš ◽  
L. Plincelnerová ◽  
Z. Vaľová ◽  
L. Zámečník

2018 ◽  
Vol 16 (2) ◽  
pp. 293-302
Author(s):  
Mariano Martini ◽  
Nicola Luigi Bragazzi

Enrico Bottini (Stradella, Pavia, 7 September 1835 - Porto Maurizio, Sanremo, 11 March 1903) was a multifaceted surgeon, who left a strong mark in modern surgery, not only Italian but worldwide. A pupil of Porta and Ribeti, as well as the distinguished French surgeon and anatomist Charles-Marie-Édouard Chassaignac, he has dedicated himself throughout his career to various areas of medicine, ranging from bacteriology and anti-sepsis (use of a derivative of phenic acid) to urological surgery (the so-called “endo-urethral galva-cauterization”, also called Bottini’s operation, or Perineal incision according to Bottini). He has also successfully dedicated himself to gynecology (trans-vaginal hysterectomy for uterine cancer and surgical treatment of vesicovaginal fistulas), maxillofacial surgery (endo-oral resection of the maxilla, subperiosteal resection of the mandible for the treatment of the stable jaw, total amputation of the larynx and the tongue for carcinomas), the dermosurgery (use of the electrocautery), and the vascular surgery (resection of the inferior vena cava). He was also an important Italian politician, first as a deputy and then as a senator.


2017 ◽  
Vol 5 (3) ◽  
pp. 79-86
Author(s):  
V. L. Medvedev ◽  
A. M. Opol’skiy

1938 ◽  
Vol 34 (2) ◽  
pp. 205-206
Author(s):  
A. A. Aydarov

In the 40s of the last century, thanks to the works of Jaubert, Gosse and others, the surgical treatment of vesicovaginal fistulas was widely used. Since then, plastic methods for closing fistulas have been used by urological surgeons and gynecologists.


2012 ◽  
Vol 140 (11-12) ◽  
pp. 756-759 ◽  
Author(s):  
Milan Radovanovic ◽  
Zoran Dzamic ◽  
Aleksandar Vuksanovic ◽  
Tomislav Pejcic ◽  
Predrag Nikic

Introduction. Vesicovaginal fistulas (VVF) are the most common and the most frequent type of urogenital fistulas. They may have a different etiology. In most cases, surgery is required for treatment. Objective. The aim of the study was to analyze the results of surgical therapy of VVF in a tertiary level institution over the last decade. Methods. The retrospective study of results was conducted involving a total number of 99 women who were surgically treated for VVF at the Clinic of Urology of the Clinical Center of Serbia in Belgrade in the period from 2001?2010. Results. Over the past ten years VVF occurred after hysterectomy in 74.7% of cases, and almost twice more frequently after hysterectomy for a benign gynecological disease. In the surgical treatment of primary VVF transvesical approach was used in 53.53% (52/99) of cases. Relapses were treated surgically using transperitoneal approach in all cases. No significant difference was found in respect to the applied approach in the surgical treatment of primary fistulas. In even 94% (93/99) of cases the problem of VVF was solved by a single surgical intervention only. In total, in 107 interventions 8 (7.4%) relapses were recorded. Conclusion. The study showed that VVF occurred after hysterectomy in three quarters of cases, more frequently after hysterectomy due to a benign gynecological disease. Early detection with timely and appropriate treatment of gynecological diseases will reduce the number of conditions that may lead to VVF. Surgical treatment of VVF yielded satisfactory results; it was shown that even in 94% of cases the problem of VVF was solved by a single surgical intervention only, however further improvement is certainly necessary.


Author(s):  
M.D. Graham

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.


2001 ◽  
Vol 120 (5) ◽  
pp. A401-A401
Author(s):  
M BOERMEESTER ◽  
E BELT ◽  
B LAMME ◽  
M LUBBERS ◽  
J KESECIOGLU ◽  
...  

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