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SUPRATRIGONAL VESICOVAGINAL FISTULA REPAIR BY MODIFIED O’CONNOR’S TECHNIQUE USING A FREE SUPPORTING GRAFT

Dr. Maha Shehzad Mughal, Dr Ayesha Noor, Dr Kanwal Firdous

Abstract: Background: A vesicovaginal fistula (VVF) is a careful issue and is related to numerous social results. Numerous methods including various methodologies and various tissues as intervention unions have been proposed for the fix of the VVF. We are revealing our experience of VVF fix with free omental unite through Transperitoneal transvesical approach. Objective: The goal of the present investigation was to evaluate the result of supratrigonal vesicovaginal fistula fix by changed 0, Connors' procedure. Patients and Methods: This illustrative investigation was carried out at Mayo Hospital, Lahore from December 2017 to January 2019. After a point by point restorative history, physical examination, per vaginal appraisal, cystoscopy and radiological and research centre stir up these patients experienced VVF fix. Postoperatively these were evaluated for recuperation, the disappointment of fistula and the advancement of any difficulties. Patients were reexamined before releasing from the emergency clinic. Follow up visits were arranged following 2 weeks and afterwards following 3 months so as to evaluate the achievement of a fix. Results: Mean age of the patients was (37.5 ± 11.7) years. A large portion of the patients (8) were from the low financial group. Six patients had essential fistulae while 3 had repetitive. One patient had right ureteric dilatation because of iatrogenic ureteric ligation. The measure of fistulae noted amid the medical procedure was < 2 cm in 5 patients and > 2 cm in 4 patients. Normal employable time was (72 ± 15) minutes. Normal emergency clinic stay was (9.4 ± 3) days. Achievement rate was 100% as none of the fixes fizzled. Minor urinary spillage, negligible hematuria and laparotomy wound contamination settled unexpectedly. Conclusion: Free omental join through trans abdominal transvesical approach for VVF fix is related with exceptionally low horribleness and conveys a high achievement rate. Keywords: Vesicovaginal, Tissues, Omental, Vaginal, Cystoscopy, Radiological, Operative, Fistula, Recovery and Contamination.

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