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Grafting as a Principle in the Surgical Management of Vesicovaginal and Rectovaginal Fistulae
Author(s) -
Zacharin Robert F.
Publication year - 1980
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1980.tb00887.x
Subject(s) - medicine , rectovaginal fistula , vesicovaginal fistula , surgery , fistula , grafting , general surgery , gynecology , chemistry , organic chemistry , polymer
Summary: The treatment of 49 genital fistulae in the past 18 years is reported from the Department of Gynaecology, Alfred Hospital, Melbourne. The series included 32 vesicovaginal fistulae, 15 rectovaginal fistulae and 2 double fistulae. Whilst utilising the accepted principles of fistula closure, the high success rate is believed due, in large measure, to the additional step of grafting which has been used extensively. It is advocated as a most important principle in all genital fistula surgery.