Obstetric rectovaginal fistula: should there be a different treatment paradigm?
| Autor: | M. R. B. Keighley |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Fistula Fourth degree Perineum Lacerations 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Pregnancy medicine Humans Diagnostic Errors Trauma Severity Indices business.industry Vaginal delivery Assisted delivery Gastroenterology Rectovaginal Fistula Extraction Obstetrical medicine.disease Delivery Obstetric Surgery Rectovaginal fistula 030220 oncology & carcinogenesis Tears 030211 gastroenterology & hepatology Female business Fecal Incontinence |
| Zdroj: | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 19(9) |
| ISSN: | 1463-1318 |
| Popis: | Twenty-three women with obstetric rectovaginal fistulas were seen between 2010 and 2017 from a database of 116 women with obstetric injuries. This was a first vaginal delivery in 19 (82%), and 15 (65%) required an assisted delivery. The original fistula site was as follows: 9 suprasphincteric (39.1%), 10 transsphincteric (43.5%) and 4 anovulval (17.4%). Fourteen occurred within the first three weeks of delivery, with the remainder one to four months later. (Figure 1). The final assumed diagnosis based on investigation and follow-up was as follows: 13 missed fourth degree tears, 5 inadequate repairs of fourth degree tears, 2 repairs broke down from sepsis and 3 suture penetration of the anorectum during repairs. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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