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Challenging Conventional Wisdom, Dr. John Miklos and Dr. Robert Moore Repair a Failed Omental Flap Vesicovaginal Fistula Laporoscopically and Without an Omental Flap
Date:3/5/2013

and mobilization of the vagina and bladder fistula tract, a multilayer closure of the excised fistula tract was successfully performed.

Drs. Miklos and Moore adhere to a double-layer bladder closure theory (Sokol et al 2009) that suggests it is superior to a single-layer closure and may prevent a fistula. The authors do not believe that an abdominal interposition graft is necessary in most cases of VVF if one adheres to the meticulous dissection and closure technique. Omental flaps are not the panacea for all irradiated VVF repairs; if it were, this patient would not have undergone a second VVF repair. According to Drs. Miklos and Moore the patient had an excellent recovery and two years after her laparoscopic repair she remains content and without a VVF.

Read the full story at http://www.prweb.com/releases/2013/3/prweb10471922.htm.


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