How are carcinoma-related enterovesical fistula repaired?

Updated: Dec 24, 2020
  • Author: Joseph Basler, MD, PhD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

To avoid tumor spillage, a circumscribing incision around the tumor mass and through the bladder wall is made. Frozen sections of the margins are sent for histologic analysis. Further resection is undertaken as indicated, and, if frozen section analysis results eventually return as negative, a multilayered closure and omental interposition are performed. This may help reduce postoperative complications and the risk of recurrence.


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