Vesicovaginal Fistula Revisited
Vesicovaginal fistulas remain common and serious problems for women in West Africa. Thirty-six surgical repairs done during visiting professorships by American gynecologists between the years 1978-1987 are documented. The overall success rate was 70%. The management of large (greater than 4 cm) obst...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1988-09, Vol.72 (3), p.307-312 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | ELKINS, THOMAS E DRESCHER, CHARLES MARTEY, J O FORT, DAVID |
| description | Vesicovaginal fistulas remain common and serious problems for women in West Africa. Thirty-six surgical repairs done during visiting professorships by American gynecologists between the years 1978-1987 are documented. The overall success rate was 70%. The management of large (greater than 4 cm) obstetric fistulas was especially difficult until the Latzko technique was abandoned for the technique of wide mobilization of vaginal flaps over the fistula site. This technique reduced the failure rate from 75% through 1986 to approximately 25% in 1987. Ongoing controversies and basic principles of surgical techniques in fistula repair are reviewed. |
| format | Article |
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Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Non tumoral diseases</subject><subject>Posture</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Suture Techniques</subject><subject>Tropical medicine</subject><subject>Vesicovaginal Fistula - epidemiology</subject><subject>Vesicovaginal Fistula - surgery</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kFFLwzAUhYMoc05_grgH8S2Q5KZJ-ijDqTAQRMW3cpukLpqttWk3_PdWVny63Hs-7uGcIzLlRgMVAO_HZMqYyKk2Up6Ss5Q-GWNc5TAhE2AShFFTcvXmU7D1Dj_CFuN8GVLXR5w_-11IofPunJxUGJO_GOeMvC7vXhYPdPV0_7i4XdFGGCapEFBq5cFwyFCAQ8tFLowzeYWGcYa8MqisVS4rS-BGeZRMg84UOMdLhBm5Ofxt2vq796krNiFZHyNufd2nQhvIlFHZAF6OYF9uvCuaNmyw_SnGRIN-PeqYLMaqxa0N6R_TgzfXesDkAdvXsfNt-or93rfF2mPs1sVQFFMiY5TnxrB82OjfScIvku5ing</recordid><startdate>198809</startdate><enddate>198809</enddate><creator>ELKINS, THOMAS E</creator><creator>DRESCHER, CHARLES</creator><creator>MARTEY, J O</creator><creator>FORT, DAVID</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198809</creationdate><title>Vesicovaginal Fistula Revisited</title><author>ELKINS, THOMAS E ; DRESCHER, CHARLES ; MARTEY, J O ; FORT, DAVID</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2804-223b76e38135a23dac12928d89fa8010a1f8a6cc6d5bb3186ea40737563dd1ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Africa, Western</topic><topic>Biological and medical sciences</topic><topic>Drainage</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Follow-Up Studies</topic><topic>Gynecology. 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| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1988-09, Vol.72 (3), p.307-312 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78356865 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Africa, Western Biological and medical sciences Drainage Evaluation Studies as Topic Female Female genital diseases Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Medical sciences Methods Non tumoral diseases Posture Reoperation Retrospective Studies Suture Techniques Tropical medicine Vesicovaginal Fistula - epidemiology Vesicovaginal Fistula - surgery |
| title | Vesicovaginal Fistula Revisited |
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