Case Report

Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak'a )

Volume: 31 Number: 4 December 31, 1978
İhsan Günalp
TR EN

Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak'a )

Abstract

The repair of complex or previously failed vesico-vaginal fistulas remains a surgical challenge. In this case, a 23-year-old woman with a long-standing vesico-vaginal fistula—developed after obstructed labor and unresponsive to three prior surgical attempts—was successfully treated using a pedicled omental graft. Through an open abdominal approach, a segment of omentum was mobilized and tunneled to the pelvic cavity, supporting the reconstruction of the urethra and bladder wall. Postoperative recovery was uneventful, and the patient regained full urinary continence within 60 days. This case demonstrates that omental grafting can offer definitive resolution for complex urogenital fistulas resistant to conventional techniques.

Keywords

Vesico-vaginal fistula, Omental pedicle graft, Urinary continence, Reconstructive urology, Complex fistula, Failed fistula repair, Pelvic surgery

References

  1. R. T. Turner Warwick E. J. C. Wynne - M. Handley Ashken The use of the Omental pedicle graft in the repair and reconstruction of the Urinary Tract. Brit. J. of Surg. 1967, vol 54 No : 10 October
  2. Norman E. Hugo. Recent advances in the treatment of Lymphedema Surg. Cl. of N. Arne. vol. 51, P : 11 - 123 - 1971.- Harry S. Goldsmith. The treatment of post - surgical Lymphedema Surg. Cl. of N. Amet vol 49, P : 408 -41()- 1969.
  3. Arthur B. Lee George Schmert. Total excision of the Sternum and Thoracic pedicle Transposition of the Omentum useful strategenous managing severe mediastinal infection foiiowing open Heart Surgery. Surgery, Voi 80, P : 433 436, 1976.
  4. Gary S. Goldsmith - Edward J. Beatrice Protection of Vascular Protheses following Ra• dical inguinal Excisions. Surg. Cl. of N. Arne. Vol 49, P : 413 419 - 1969.
APA
Günalp, İ. (1978). Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a ). Ankara Üniversitesi Tıp Fakültesi Mecmuası, 31(4), 1367-1374. https://izlik.org/JA84SF85PY
AMA
1.Günalp İ. Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a ). Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1978;31(4):1367-1374. https://izlik.org/JA84SF85PY
Chicago
Günalp, İhsan. 1978. “Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a )”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 31 (4): 1367-74. https://izlik.org/JA84SF85PY.
EndNote
Günalp İ (December 1, 1978) Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a ). Ankara Üniversitesi Tıp Fakültesi Mecmuası 31 4 1367–1374.
IEEE
[1]İ. Günalp, “Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a )”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 31, no. 4, pp. 1367–1374, Dec. 1978, [Online]. Available: https://izlik.org/JA84SF85PY
ISNAD
Günalp, İhsan. “Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a )”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 31/4 (December 1, 1978): 1367-1374. https://izlik.org/JA84SF85PY.
JAMA
1.Günalp İ. Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a ). Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1978;31:1367–1374.
MLA
Günalp, İhsan. “Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a )”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 31, no. 4, Dec. 1978, pp. 1367-74, https://izlik.org/JA84SF85PY.
Vancouver
1.İhsan Günalp. Pediküllü Omentum Grefti İle Veziko - Vajinal Fistül Tamiri ( Şifa Bulan Bir Vak’a ). Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 1978 Dec. 1;31(4):1367-74. Available from: https://izlik.org/JA84SF85PY