The use of a rotational bladder flap for the repair of recurrent mixed trigonal–supratrigonal vesicovaginal fistulas

摘要: Abstract Objective To describe an approach for managing 10 patients with complex, mixed trigonal–supratrigonal vesiocovaginal fistulas (VVFs) using the rotational bladder flap technique. Methods The were undergoing their second to fourth repair of a VVF. fistula was approached transabdominally, opened along sagittal plane and rotated downward medially fill defect. First, vaginal defect repaired as usual; then, omental interposed fixed between vagina bladder; finally, posterior wall meticulously sutured in 1 layer. Results Fistula closure unsuccessful patient, whom corrugated drain had entered via suture line. successfully 9 remaining patients, no recurrence or surgical reintervention any reason follow-up duration. Conclusion technique is safe effective VVFs which always require tension-free approximation.