Matches in SemOpenAlex for { <https://semopenalex.org/work/W4317495550> ?p ?o ?g. }
Showing items 1 to 55 of
55
with 100 items per page.
- W4317495550 endingPage "149" @default.
- W4317495550 startingPage "138" @default.
- W4317495550 abstract "Introduction. Radial vesicovaginal fistulas are one of the most difficult problems of urogynecology, despite the fact that modern technologies make it possible to personalize the use of radiation therapy. Standard surgical techniques in the treatment of such patients are ineffective. The search for alternative surgical solutions can improve the results of treatment of patients with radial fistulas and microcystis. Study objective. To compare the effectiveness of augmentation ileocystoplasty and two-stage surgical treatment, represented by expanding intestinal cystoplasty in combination with the use of a Martius or Martius-Symmonds flaps. Materials and methods. The study included 8 patients. The first group included 4 patients who underwent laparotomy, augmentation ileocystoplasty. In 3 patients relapsed fistulas were closed with vaginal access using a Martius flap a few months later. The second group included 4 patients who underwent expanding intestinal cystoplasty by laparotomy, with further formation of Martius or Martius-Symmonds flaps by perineal access and moving them into the pelvic cavity for fixation from the abdominal cavity. Results. The average duration of the operation in the first group was 337.5 minutes, in the second group – 470 minutes. The patients of the first group had no complications of the III-V groups according to Clavien-Dindo. Natural urination was eventually recovered in all patients. In 2 patients of the second group, postoperative complications were recorded: in 1 patient – complication of group IIIa according to Clavien-Dindo – marginal necrosis of the skin flap after abdominoplasty, which required stage necrectomy and secondary skin sutures, in another 1 patient – complication of group IIIb according to Clavien-Dindo – dynamic intestinal obstruction, which required relaparotomy and nasointestinal intubation. There were no relapses of vesicovaginal fistulas. After urination was restored, all patients retained the urge to urinate. Conclusion. The proposed two-stage operation allows not only to eliminate the vesicovaginal fistulas, but also to increase the capacity of the bladder, restore voluntary urination." @default.
- W4317495550 created "2023-01-20" @default.
- W4317495550 creator A5005974023 @default.
- W4317495550 creator A5010325739 @default.
- W4317495550 creator A5013221263 @default.
- W4317495550 creator A5023022301 @default.
- W4317495550 creator A5026672293 @default.
- W4317495550 creator A5065707771 @default.
- W4317495550 date "2022-12-25" @default.
- W4317495550 modified "2023-09-30" @default.
- W4317495550 title "Method of expanding intestinal cystoplasty in patients with radial vesicovaginal fistulas and microcystis." @default.
- W4317495550 doi "https://doi.org/10.29188/2222-8543-2022-15-4-138-149" @default.
- W4317495550 hasPublicationYear "2022" @default.
- W4317495550 type Work @default.
- W4317495550 citedByCount "0" @default.
- W4317495550 crossrefType "journal-article" @default.
- W4317495550 hasAuthorship W4317495550A5005974023 @default.
- W4317495550 hasAuthorship W4317495550A5010325739 @default.
- W4317495550 hasAuthorship W4317495550A5013221263 @default.
- W4317495550 hasAuthorship W4317495550A5023022301 @default.
- W4317495550 hasAuthorship W4317495550A5026672293 @default.
- W4317495550 hasAuthorship W4317495550A5065707771 @default.
- W4317495550 hasBestOaLocation W43174955501 @default.
- W4317495550 hasConcept C141071460 @default.
- W4317495550 hasConcept C2776341189 @default.
- W4317495550 hasConcept C2780764554 @default.
- W4317495550 hasConcept C2780778865 @default.
- W4317495550 hasConcept C71924100 @default.
- W4317495550 hasConcept C81182388 @default.
- W4317495550 hasConceptScore W4317495550C141071460 @default.
- W4317495550 hasConceptScore W4317495550C2776341189 @default.
- W4317495550 hasConceptScore W4317495550C2780764554 @default.
- W4317495550 hasConceptScore W4317495550C2780778865 @default.
- W4317495550 hasConceptScore W4317495550C71924100 @default.
- W4317495550 hasConceptScore W4317495550C81182388 @default.
- W4317495550 hasIssue "4" @default.
- W4317495550 hasLocation W43174955501 @default.
- W4317495550 hasOpenAccess W4317495550 @default.
- W4317495550 hasPrimaryLocation W43174955501 @default.
- W4317495550 hasRelatedWork W113810927 @default.
- W4317495550 hasRelatedWork W1987670687 @default.
- W4317495550 hasRelatedWork W1995487349 @default.
- W4317495550 hasRelatedWork W2145226870 @default.
- W4317495550 hasRelatedWork W2348809255 @default.
- W4317495550 hasRelatedWork W2378618593 @default.
- W4317495550 hasRelatedWork W2401923160 @default.
- W4317495550 hasRelatedWork W2972641893 @default.
- W4317495550 hasRelatedWork W4248999938 @default.
- W4317495550 hasRelatedWork W4297394842 @default.
- W4317495550 hasVolume "15" @default.
- W4317495550 isParatext "false" @default.
- W4317495550 isRetracted "false" @default.
- W4317495550 workType "article" @default.