[Vesicovaginal fistula. Still a daily reality in Africa. Apropos of 89 cases].
Vesico-vaginal fistulae (VVF) are still a daily occurrence in Africa. Obstetrical causes are the most frequent. This severe disability requires that everything be implemented to obtain a leak-free closure of the pathological opening. The authors report their experience with 89 cured cases of VVF. Except for 2 cases cured with an abdominal approach, the Moir technique gave good results in 78 cases, for midline, moderate size, fistulae. In 3 instances, closure of the vagina alone was satisfactory. There were 10 recurrences, cured 9 times at the second operation and once at the third. 3 recurrences came from other institutions and were cured after 4 and 5 successive procedures. In 6 instances, for fistulae close to 5 cm or larger and located in areas difficult to reach, the authors have developed a technique of vaginal closure alone using a turned-over, undetermined vaginal flap creating a leak-free diverticulum. No recurrences have been observed with this technique.
Ribault
L
L
Services Chirurgicaux, CHR Korhogo, Côte-d'Ivoire.
Vergos
M
M
Barthe
B L
BL
Ribault
A
A
D000293:Adolescent; D000328:Adult; D007560:Cote d'Ivoire; D005260:Female; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D014719:Vesicovaginal Fistula / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*
Les fistules vésico-vaginales. Encore une réalité quotidienne en Afrique. A propos de 89 cas.