SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI

Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for...
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Autor*in:	E. G. Semirdzhanyants [verfasserIn] A. V. Petrovsky [verfasserIn] I. A. Fanshtein [verfasserIn] M. I. Nechushkin [verfasserIn] D. E. Avtomonov [verfasserIn]

Format:	E-Artikel
Sprache:	Russisch

Erschienen:	2013

Schlagwörter:	cancer of the cervix uteri vesicovaginal fistulas radiation injuries bladder resection therapeutic effectiveness

Übergeordnetes Werk:	In: Onkourologiâ - ABV-press, 2015, 9(2013), 4, Seite 66-70
Übergeordnetes Werk:	volume:9 ; year:2013 ; number:4 ; pages:66-70

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.17650/1726-9776-2013-9-4-66-70

Katalog-ID:	DOAJ014411601

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520			\|a Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU.
650		4	\|a cancer of the cervix uteri
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spelling	10.17650/1726-9776-2013-9-4-66-70 doi (DE-627)DOAJ014411601 (DE-599)DOAJd40ca05911694dbc97ad010930a77ed1 DE-627 ger DE-627 rakwb rus E. G. Semirdzhanyants verfasserin aut SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU. cancer of the cervix uteri vesicovaginal fistulas radiation injuries bladder resection therapeutic effectiveness Medicine R A. V. Petrovsky verfasserin aut I. A. Fanshtein verfasserin aut M. I. Nechushkin verfasserin aut D. E. Avtomonov verfasserin aut In Onkourologiâ ABV-press, 2015 9(2013), 4, Seite 66-70 (DE-627)1736705067 17269776 nnns volume:9 year:2013 number:4 pages:66-70 https://doi.org/10.17650/1726-9776-2013-9-4-66-70 kostenfrei https://doaj.org/article/d40ca05911694dbc97ad010930a77ed1 kostenfrei https://oncourology.abvpress.ru/oncur/article/view/151 kostenfrei https://doaj.org/toc/1726-9776 Journal toc kostenfrei https://doaj.org/toc/1996-1812 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2013 4 66-70
allfields_unstemmed	10.17650/1726-9776-2013-9-4-66-70 doi (DE-627)DOAJ014411601 (DE-599)DOAJd40ca05911694dbc97ad010930a77ed1 DE-627 ger DE-627 rakwb rus E. G. Semirdzhanyants verfasserin aut SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU. cancer of the cervix uteri vesicovaginal fistulas radiation injuries bladder resection therapeutic effectiveness Medicine R A. V. Petrovsky verfasserin aut I. A. Fanshtein verfasserin aut M. I. Nechushkin verfasserin aut D. E. Avtomonov verfasserin aut In Onkourologiâ ABV-press, 2015 9(2013), 4, Seite 66-70 (DE-627)1736705067 17269776 nnns volume:9 year:2013 number:4 pages:66-70 https://doi.org/10.17650/1726-9776-2013-9-4-66-70 kostenfrei https://doaj.org/article/d40ca05911694dbc97ad010930a77ed1 kostenfrei https://oncourology.abvpress.ru/oncur/article/view/151 kostenfrei https://doaj.org/toc/1726-9776 Journal toc kostenfrei https://doaj.org/toc/1996-1812 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2013 4 66-70
allfieldsGer	10.17650/1726-9776-2013-9-4-66-70 doi (DE-627)DOAJ014411601 (DE-599)DOAJd40ca05911694dbc97ad010930a77ed1 DE-627 ger DE-627 rakwb rus E. G. Semirdzhanyants verfasserin aut SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU. cancer of the cervix uteri vesicovaginal fistulas radiation injuries bladder resection therapeutic effectiveness Medicine R A. V. Petrovsky verfasserin aut I. A. Fanshtein verfasserin aut M. I. Nechushkin verfasserin aut D. E. Avtomonov verfasserin aut In Onkourologiâ ABV-press, 2015 9(2013), 4, Seite 66-70 (DE-627)1736705067 17269776 nnns volume:9 year:2013 number:4 pages:66-70 https://doi.org/10.17650/1726-9776-2013-9-4-66-70 kostenfrei https://doaj.org/article/d40ca05911694dbc97ad010930a77ed1 kostenfrei https://oncourology.abvpress.ru/oncur/article/view/151 kostenfrei https://doaj.org/toc/1726-9776 Journal toc kostenfrei https://doaj.org/toc/1996-1812 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2013 4 66-70
allfieldsSound	10.17650/1726-9776-2013-9-4-66-70 doi (DE-627)DOAJ014411601 (DE-599)DOAJd40ca05911694dbc97ad010930a77ed1 DE-627 ger DE-627 rakwb rus E. G. Semirdzhanyants verfasserin aut SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU. cancer of the cervix uteri vesicovaginal fistulas radiation injuries bladder resection therapeutic effectiveness Medicine R A. V. Petrovsky verfasserin aut I. A. Fanshtein verfasserin aut M. I. Nechushkin verfasserin aut D. E. Avtomonov verfasserin aut In Onkourologiâ ABV-press, 2015 9(2013), 4, Seite 66-70 (DE-627)1736705067 17269776 nnns volume:9 year:2013 number:4 pages:66-70 https://doi.org/10.17650/1726-9776-2013-9-4-66-70 kostenfrei https://doaj.org/article/d40ca05911694dbc97ad010930a77ed1 kostenfrei https://oncourology.abvpress.ru/oncur/article/view/151 kostenfrei https://doaj.org/toc/1726-9776 Journal toc kostenfrei https://doaj.org/toc/1996-1812 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2013 4 66-70
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G. Semirdzhanyants</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2013</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">cancer of the cervix uteri</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">vesicovaginal fistulas</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">radiation injuries</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">bladder resection</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">therapeutic effectiveness</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">A. V. 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author	E. G. Semirdzhanyants
spellingShingle	E. G. Semirdzhanyants misc cancer of the cervix uteri misc vesicovaginal fistulas misc radiation injuries misc bladder resection misc therapeutic effectiveness misc Medicine misc R SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI
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topic_title	SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI cancer of the cervix uteri vesicovaginal fistulas radiation injuries bladder resection therapeutic effectiveness
topic	misc cancer of the cervix uteri misc vesicovaginal fistulas misc radiation injuries misc bladder resection misc therapeutic effectiveness misc Medicine misc R
topic_unstemmed	misc cancer of the cervix uteri misc vesicovaginal fistulas misc radiation injuries misc bladder resection misc therapeutic effectiveness misc Medicine misc R
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title	SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI
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title_full	SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI
author_sort	E. G. Semirdzhanyants
journal	Onkourologiâ
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author_browse	E. G. Semirdzhanyants A. V. Petrovsky I. A. Fanshtein M. I. Nechushkin D. E. Avtomonov
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author-letter	E. G. Semirdzhanyants
doi_str_mv	10.17650/1726-9776-2013-9-4-66-70
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title_sort	surgical rehabilitation in patients with postradiation vesicovaginal fistulas in cancer of the cervix uteri
title_auth	SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI
abstract	Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU.
abstractGer	Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU.
abstract_unstemmed	Background. Radiotherapy is a basic treatment for patients with locally advanced cancer of the cervix uteri (CCU). However, in 20–30 % of patients, postradiation injuries result from different causes, which may give rise to fistulas.Objective: to define an optimal surgical rehabilitation method for patients with postradiation vesicovaginal fistulas in CCU.Subjects and methods. Forty-eight patients with CCU and postradiation vesicovaginal fistulas were operated on in 1996 to 2010. Patients with primary fistulas underwent 46 radical operations and 2 palliative ones; those with recurrent fistulas had 17 radical operations and 1 palliative one.Results. Recurrences after radical surgery for primary fistulas occurred in 39.1 % of the patients; the efficiency was 80.0 % for transvaginal plasty, 61.5 % for bladder resection, 61.5 % for bladder resection with ureteral reimplantation, and 0 for subtotal bladder resection. In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. The correct choice of surgical scope allows the satisfactory results of treatment for postradiation fistulas to be achieved in patients with CCU.
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title_short	SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI
url	https://doi.org/10.17650/1726-9776-2013-9-4-66-70 https://doaj.org/article/d40ca05911694dbc97ad010930a77ed1 https://oncourology.abvpress.ru/oncur/article/view/151 https://doaj.org/toc/1726-9776 https://doaj.org/toc/1996-1812
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author2	A. V. Petrovsky I. A. Fanshtein M. I. Nechushkin D. E. Avtomonov
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up_date	2024-07-03T22:53:50.276Z
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G. Semirdzhanyants</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2013</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background. 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In recurrent fistulas, the efficiency was 0 for bladder resection with ureteral reimplantation, 50 % for subtotal bladder resection, and 100 % for cystectomy, Bricker surgery. Surgical rehabilitation could be achieved in a total of 40 (83.3 %) of the 48 women.Conclusion. 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SURGICAL REHABILITATION IN PATIENTS WITH POSTRADIATION VESICOVAGINAL FISTULAS IN CANCER OF THE CERVIX UTERI

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