Outcome of VVF repair without omental interposition
Wahab, F.; Nasir, A.; Manan, F.
Jpma. Journal of the Pakistan Medical Association 66(5): 590-592
2016
ISSN/ISBN: 0030-9982 PMID: 27183942 Document Number: 686653
To find out the outcome in cases of vesicovaginal fistula repair. The descriptive study was conducted at the District Headquarter Hospital, Timergara, Lower Dir, Pakistan, from November 1, 2011 to November 2013, and comprised all patients admitted in Urology unit with vesicovaginal fistula. Repair was done with either transabdominal or transvaginal approach. Repair technique involved good tissue separation, interrupted sutures, and no omental interposition. Follow-up was of three months. There were 30 patients available, but 2(6.6%) were excluded. Among the remaining 28(93.3%) patients dehiscence was not noted in any patient, while only 4(14.3%) patients developed mild urinary tract infection. There were no intraoperative or postoperative deaths. Transvaginal or Transabdominal repair of vesicovaginal fistula is successful treatment modality if good dissection and tissue separation is applied with interrupted suturing. Omental interposition is not essential for good healing.