کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3952061 1600423 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
One-stage repair for combined fistulas: Myth or reality?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
One-stage repair for combined fistulas: Myth or reality?
چکیده انگلیسی

ObjectiveThe repair of combined vesico-vaginal fistulas (VVFs) and recto-vaginal fistulas (RVFs) is challenging to both surgeon and patient. The multistage approach involves at least 3 surgical sessions, all associated with morbidity and sometimes with a colostomy procedure as well. The outcomes of the 1-stage approach were examined.MethodsTwenty patients aged between 16 and 38 years were recruited for a multicenter study conducted from March 2005 to August 2006. Prolonged obstructed labor was the cause of all fistulas. The VVFs were mainly midvaginal (60%), juxtaurethral (25%), and juxtacervical (15%). The RVFs measured between 1 and 3 cm, they were low in 70% of cases, and 1 was associated with fourth-degree perineal tear. Bowel preparation was performed in all patients prior to surgery. No patient underwent temporary colostomy.ResultsBoth VVFs and VVFs were successfully closed in all patients, as evidenced by the continence dye test.ConclusionThe combined repair relieves economic constraints and emotional challenges, and it accelerates restoration to health and social reintegration for women affected with both VVFs and RVFs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Gynecology & Obstetrics - Volume 99, Supplement 1, November 2007, Pages S90–S93
نویسندگان
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