The treatment of vesicoureteral fistulas by separating the urinary bladder from the cervix, and the advantage of this method compared to other methods used from the vagina



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The beginning of the rational operative treatment of vesico-cervical fistulas from the side of the vagina was laid by the French surgeon JoberVowb (de Lamballe). In 1849, to cure such a fistula, Jobert used the following method: by bringing down the cervix, he squeezed it laterally from the right and left sides and, thus forming a significant amount of eversion, achieved that the fistula became easily accessible from the side of the cervical canal; I darkened its edges in a funnel-shaped manner and applied sutures, capturing the tissue of the neck and bladder with common ligatures.

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A. Dranitsyn

Imperial Clinical Instituteѣ

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