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Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas?
Aim. Genitourinary fistulas are bothersome clinical entities not only for the patient but also for the treating surgeon as well. A lot of surgical procedures have been proposed; however, most of the fistulas can be easily treated with plain surgical techniques, such as the simple surgical closure of...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3586520/ https://www.ncbi.nlm.nih.gov/pubmed/23476795 http://dx.doi.org/10.1155/2013/672540 |
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author | Unlubilgin, Eylem İlhan, Tolgay Tuyan Sivaslioglu, Ahmet Akin Dolen, Ismail |
author_facet | Unlubilgin, Eylem İlhan, Tolgay Tuyan Sivaslioglu, Ahmet Akin Dolen, Ismail |
author_sort | Unlubilgin, Eylem |
collection | PubMed |
description | Aim. Genitourinary fistulas are bothersome clinical entities not only for the patient but also for the treating surgeon as well. A lot of surgical procedures have been proposed; however, most of the fistulas can be easily treated with plain surgical techniques, such as the simple surgical closure of the fistula tract. Material and Method. The study was carried out in the urogynecology department of Ankara Etlik Zübeyde Hanım Maternity Training and Research Hospital. The study included 12 cases with vesicovaginal fistulas and 15 cases with rectovaginal fistulas. Twenty-six patients underwent simple surgical closure technique. The age, the referral time to the hospital, the longest diameter of the fistula opening, the hospitalization time, the follow-up period and identifiable risk factors of the patients were evaluated. Results. Caeserean section was detected as primary risk factor for vesicovaginal fistulas and prolonged labor was detected as the most important risk factor for rectovaginal fistulas. In our study, we found that the simple closure technique cured 91% of vesicovaginal fistulas and 93% of rectovaginal fistulas. Conclusion. The simple closure technique has very high cure rates for both vesicovaginal and rectovaginal fistulas when the longest diameter of the fistula openings is ≤5 mm. |
format | Online Article Text |
id | pubmed-3586520 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-35865202013-03-09 Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? Unlubilgin, Eylem İlhan, Tolgay Tuyan Sivaslioglu, Ahmet Akin Dolen, Ismail ISRN Obstet Gynecol Clinical Study Aim. Genitourinary fistulas are bothersome clinical entities not only for the patient but also for the treating surgeon as well. A lot of surgical procedures have been proposed; however, most of the fistulas can be easily treated with plain surgical techniques, such as the simple surgical closure of the fistula tract. Material and Method. The study was carried out in the urogynecology department of Ankara Etlik Zübeyde Hanım Maternity Training and Research Hospital. The study included 12 cases with vesicovaginal fistulas and 15 cases with rectovaginal fistulas. Twenty-six patients underwent simple surgical closure technique. The age, the referral time to the hospital, the longest diameter of the fistula opening, the hospitalization time, the follow-up period and identifiable risk factors of the patients were evaluated. Results. Caeserean section was detected as primary risk factor for vesicovaginal fistulas and prolonged labor was detected as the most important risk factor for rectovaginal fistulas. In our study, we found that the simple closure technique cured 91% of vesicovaginal fistulas and 93% of rectovaginal fistulas. Conclusion. The simple closure technique has very high cure rates for both vesicovaginal and rectovaginal fistulas when the longest diameter of the fistula openings is ≤5 mm. Hindawi Publishing Corporation 2013-02-13 /pmc/articles/PMC3586520/ /pubmed/23476795 http://dx.doi.org/10.1155/2013/672540 Text en Copyright © 2013 Eylem Unlubilgin et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Unlubilgin, Eylem İlhan, Tolgay Tuyan Sivaslioglu, Ahmet Akin Dolen, Ismail Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? |
title | Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? |
title_full | Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? |
title_fullStr | Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? |
title_full_unstemmed | Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? |
title_short | Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas? |
title_sort | is the simple closure technique effective in the treatment of genital fistulas? |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3586520/ https://www.ncbi.nlm.nih.gov/pubmed/23476795 http://dx.doi.org/10.1155/2013/672540 |
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