Complex obstetric fistulae--two case reports
Two cases of complex obstetric fistulae are reported. Poor assessment and mismanagement of labour were revealed. The resulting fistulae were vesico-urethro-rectovaginal and vesico-cervico-vaginal. Plastic repair using a modified Martius graft was used in case 1. Considering the young age of the pati...
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| Veröffentlicht in: | Ceylon medical journal 2000-06, Vol.45 (2), p.84-86 |
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| container_title | Ceylon medical journal |
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| creator | Ashmore, J Attapattu, F |
| description | Two cases of complex obstetric fistulae are reported. Poor assessment and mismanagement of labour were revealed. The resulting fistulae were vesico-urethro-rectovaginal and vesico-cervico-vaginal. Plastic repair using a modified Martius graft was used in case 1. Considering the young age of the patient, transplantation of the ureters into the rectum or colon was deemed undesirable. The patient's endurance over a period of ten years, with seventeen attempts at repair ultimately was rewarded by achieving both vesical and rectal continence. Repair using the transvaginal route was successful at the first attempt in case 2. |
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Poor assessment and mismanagement of labour were revealed. The resulting fistulae were vesico-urethro-rectovaginal and vesico-cervico-vaginal. Plastic repair using a modified Martius graft was used in case 1. Considering the young age of the patient, transplantation of the ureters into the rectum or colon was deemed undesirable. The patient's endurance over a period of ten years, with seventeen attempts at repair ultimately was rewarded by achieving both vesical and rectal continence. 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Poor assessment and mismanagement of labour were revealed. The resulting fistulae were vesico-urethro-rectovaginal and vesico-cervico-vaginal. Plastic repair using a modified Martius graft was used in case 1. Considering the young age of the patient, transplantation of the ureters into the rectum or colon was deemed undesirable. The patient's endurance over a period of ten years, with seventeen attempts at repair ultimately was rewarded by achieving both vesical and rectal continence. 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Poor assessment and mismanagement of labour were revealed. The resulting fistulae were vesico-urethro-rectovaginal and vesico-cervico-vaginal. Plastic repair using a modified Martius graft was used in case 1. Considering the young age of the patient, transplantation of the ureters into the rectum or colon was deemed undesirable. The patient's endurance over a period of ten years, with seventeen attempts at repair ultimately was rewarded by achieving both vesical and rectal continence. Repair using the transvaginal route was successful at the first attempt in case 2.</abstract><cop>Sri Lanka</cop><pmid>11051709</pmid><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0009-0875 |
| ispartof | Ceylon medical journal, 2000-06, Vol.45 (2), p.84-86 |
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| language | eng |
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| source | MEDLINE; EZB Electronic Journals Library |
| subjects | Adult Delivery, Obstetric - adverse effects Female Humans Pregnancy Reconstructive Surgical Procedures - methods Rectovaginal Fistula - etiology Rectovaginal Fistula - surgery Reoperation Vesicovaginal Fistula - etiology Vesicovaginal Fistula - surgery |
| title | Complex obstetric fistulae--two case reports |
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