Recognition and management of patients with high-risk vesicovaginal fistulas: Implications for teaching and research

Autor:	P. O'Donnell, R. C. Park, D. Fort, T. E. Elkins, E. Mahama
Rok vydání:	1994
Předmět:	Surgical team medicine.medical_specialty business.industry Rectovaginal fistula Urology Obstetrics and Gynecology Medicine Obstetric trauma business medicine.disease Vesicouterine fistula Vesicovaginal fistula Surgery
Zdroj:	International Urogynecology Journal. 5:183-187
ISSN:	1433-3023 0937-3462
DOI:	10.1007/bf00386635
Popis:	Vesicovaginal fistulas (VVFs) occurring as a result of obstetric trauma are a vast problem in Nigeria and Ghana, where at least 20 000 women await repair, and fewer than 50 physicians have the necessary expertise. Through a series of conferences those VVFs that are at high risk and those at low-risk for repair failure, were identified. A clinic was established where repair of low-risk VVFs was done on an ongoing basis in a remote region of Ghana. A visiting surgical team was utilized to repair the difficult, or high-risk, VVFs, which included 4–6 cm VVFs (3), recurrent VVF (1), combined VVF and RVF (rectovaginal fistula), a large 5 cm juxtacervical VVF (1), and a vesicouterine fistula (1). Management of these patients and others with VVF repair complications is discussed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::0d903c2dfa065a69d0cfdf775ae24813 https://doi.org/10.1007/bf00386635 Zobrazit plný text záznamu Full text from SpringerLink