Clinical application effect of pedunculated rectus abdominis muscle combined with bilateral ureters for repairing refractory bladder-vaginal stump fistula through external vesical drainage.
10.3760/cma.j.cn112152-20230605-00223
- Author:
Gang Cheng WANG
1
;
Gui Ying WANG
2
;
Jing ZHAO
2
;
Li Li GUO
3
;
Ke Ke TIAN
3
;
Tao WANG
1
;
Chong Qing GAO
1
;
Ling Juan LI
1
;
Ying Jun LIU
4
;
Guo Qiang ZHANG
4
;
You Cai WANG
4
;
Liang Liang DING
1
;
Zhi ZHANG
1
;
Cong WANG
1
;
Zuo Chao QI
4
Author Information
1. Department of Abdominopelvic Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
2. Department of Colorectal Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050004, China.
3. Department of Orthopedic Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
4. Department of General Surgery, Henan Cancer Hospital, the Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China.
- Publication Type:Journal Article
- Keywords:
External drainage;
Refractory;
Tipped rectus abdominis;
Ureter;
Vesicovaginal fistula
- MeSH:
Female;
Humans;
Urinary Bladder/surgery*;
Ureter/surgery*;
Rectus Abdominis;
Drainage;
Fistula
- From:
Chinese Journal of Oncology
2023;45(12):1077-1080
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the efficacy and safety of pedunculated rectus abdominis combined with bilateral ureteral extravestheter drainage in the treatment of refractory bladder-vaginal stump fistula. Methods: The clinical data of 8 cases of the refractory bladder-vaginal stump fistula were admitted to the Second Hospital of Hebei Medical University and Henan Cancer Hospital and underwent the clinical treatment of bladder-vaginal stump from December 2019 to December 2022 were collected. The reason of refractory bladder-vaginal stump fistula was analyzed, the operation manner of pedunculated rectus abdominis combined with peduncle and bilateral ureter for the treatment of bladder-vaginal stump through extrabladder drainage was explored. The operation time, bleeding volume and clinical effect were record. Results: The median operation time of 8 patients was 150 minutes(120~180 min), and the median blood loss was 400 ml(200~600 ml). During the perioperative period, there were 2 cases of incision infection, delayed healing by debridement and dressing, 2 cases of incision rupture and suture wound healing after reoperation, and 2 cases of urinary tract infection were cured by anti-infection. When followed up for 6 months, 8 cases of vesicovaginal stump fistula were cured. Conclusion: Bilateral ureteral external drainage of the rectus abdominis muscle, has a practical effect in the treatment of refractory bladder-vaginal stump fistula, which can be one of the clinical repairing treatment.
