MARTIUS LABIAL FAT PAD INTERPOSITION IN COMPLICATED VESICOVAGINAL FISTULA
Keywords:
Vesicovaginal fistula, Complex fistula, Martius labial fat padAbstract
Objective: To assess the out come of Martius Labial fat pad interposition in the repair of complex low or medium
vesicovaginal fistulas.
Material and Methods: A prospective study, carried out in surgical units of Khyber Teaching Hospital, Peshawar and
Hayatabad Medical Complex, Peshawar. Patients with complex low or medium vesicovaginal fistula were included.
Study period was from Jan 1997 to Dec 2006. Repair was done through the vaginal approach. Martius labial fat pad
was taken from the left side in all patients. Patients were followed up for 6 months.
Results: Total of 32 patients were included in the study. Age range was from 15 years to 40 years, with mean age
being 27 (± 4 SD) years. Obstetric trauma accounted for 78.13% cases while 12.5 % cases were due to abdominal
hysterectomy. Postoperative transient stress incontinence occurred in 12.5% patients, while recurrence of the
vesicovaginal fistula was seen in 12.5 % patients.
Conclusion: Martius labial fat pad is a simple, safe and effective technique for the repair of complex vesicovaginal
fistula.
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