@article{Islam_Ahmed_2010, title={TRANSPERITONEAL APPROACH WITH INTERPOSITION OF OMENTUM FOR THE REPAIR OF SUPRATRIGONAL VESICO-VAGINAL FISTULAE}, volume={18}, url={https://jmedsci.com/index.php/Jmedsci/article/view/425}, abstractNote={<p>Objectives: To determine the technical benefits and success rate of transperitoneal approach with interposition of<br>omentum for the repair of supratrigonal Vesico-vaginal fistulae (VVF).<br>Material and Methods: This study was carried out on 32 patients that were referred to our department from different<br>gynae units and maternity homes of NWFP. Thirty-one patients had primary and one patient had recurrent VVF. The<br>fistulae were approached transperitoneally, then Urinary bladder was opened between two stay sutures and closed<br>by a single layered continous extramucosal suturing technique, the vagina was closed continuously with the suture<br>passing through all layers. All the details of the patients were entered into a structured proforma.<br>Results: Mean fistula size was 2.8 cm (range 1.0 to 3.7 cm). Mean operation time was 120 minutes and only one<br>patient required a blood transfusion, and one patient required ureteroneocystomy. All except 2 patients who had a<br>recurrence, were dry after 2-3 weeks. One patient had wound infection and another has had frequency of micturition.<br>No patient suffered from peritonitis or adhesive intestinal obstruction.<br>Conclusion: The transperitoneal approach is safe, effective and gives good access to the bladder and ureter as well<br>as excellent functional results.</p>}, number={4}, journal={Journal of Medical Sciences}, author={Islam, Mohammad and Ahmed, Sajjad}, year={2010}, month={Dec.}, pages={178–181} }