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Journal Article
Failed omental flap vesicovaginal fistula repair subsequently repaired laparoscopically without an omental flap.
Female Pelvic Medicine & Reconstructive Surgery 2012 November
BACKGROUND: Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap.
CASE: A 52-year-old woman with a history of cystotomy repair at the time of hysterectomy and a subsequent abdominal omental flap vesicovaginal fistula repair failure underwent a successful repair using a laparoscopic-layered closure of her fistula without omental flap.
CONCLUSION: A failed omental flap vesicovaginal fistula repair can be repaired laparoscopically and without an omental flap.
CASE: A 52-year-old woman with a history of cystotomy repair at the time of hysterectomy and a subsequent abdominal omental flap vesicovaginal fistula repair failure underwent a successful repair using a laparoscopic-layered closure of her fistula without omental flap.
CONCLUSION: A failed omental flap vesicovaginal fistula repair can be repaired laparoscopically and without an omental flap.
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