العلاج الجراحي للناسور المثاني المهبلي: الإصلاح عبر المهبل

References

• Most successful surgical repairs of VVFs involve the transvaginal approach.
• The most common surgical technique is Latzko's colpocleisis, which is easily performed by dissecting the fistulous tract and surrounding tissue by about 2 to 3 cm.
• The defect is then closed with multiple layers of absorbable sutures.
• Tissue interposition using a peritoneal, gracilis muscle, omental, peritoneal, Martius labial fat flap, or a bladder mucosa autograft can be performed to increase the vascular supply and thus increase the success rate.