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One-stage repair for combined fistulas: myth or reality?
Objective: The 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 o...
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2007
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/8228 | ||
| 042 | |a dc | ||
| 720 | |a Ojengbede, O.A. |e author | ||
| 720 | |a Morhason-Bello, I.O. |e author | ||
| 720 | |a Shittu, O. |e author | ||
| 260 | |c 2007 | ||
| 520 | |a Objective: The 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. Methods: Twenty 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. Results: Both VVFs and VVFs were successfully closed in all patients, as evidenced by thecontinence dye test. Conclusion: The 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 | ||
| 024 | 8 | |a 0020-7292 | |
| 024 | 8 | |a ui_art_ojengbede_one-stage_2007 | |
| 024 | 8 | |a International Journal of Gynecology and Obstetrics 99, Pp. 90 – 93 | |
| 024 | 8 | |a http://ir.library.ui.edu.ng/handle/123456789/8228 | |
| 653 | |a Combined fistula | ||
| 653 | |a Colostomy | ||
| 653 | |a Fistula | ||
| 653 | |a One-stage repair | ||
| 653 | |a Recto-vaginal fistula | ||
| 653 | |a Vesico-vaginal fistula | ||
| 245 | 0 | 0 | |a One-stage repair for combined fistulas: myth or reality? |