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What is After undergoing a partial cystectomy for carcinoma of the rectum, a 76-year-old woman develops a vesicovaginal fistula. The repair will have a higher chance of success if which of the following occurs? and explain in detail?
Repair of vesicovaginal fistula is recommended after enough time has passed, to allow a reduction in the inflammatory reaction and even spontaneous closure to occur. To promote spontaneous closure, a Foley catheter is inserted for bladder drainage. It is advised to perform meticulous repair, excision of previous fistulous tract, and tension-free anastomosis. Frequently an omental interposition helps to separate overlapping suture lines.