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Literatura académica sobre el tema "Obstetric fistula surgery/repair"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 1 de febrero de 2022

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Artículos de revistas sobre el tema "Obstetric fistula surgery/repair"

Shrestha, Ranjana, Aruna Karki, Ganesh Dangal, Hema Pradhan, Kabin Bhattachan, Rekha Poudel, Nishma Bajracharya y Kenusha Devi Tiwari. "Profile of Obstetric and Iatrogenic Fistula Surgeries at Kathmandu Model Hospital". Nepal Journal of Obstetrics and Gynaecology 13, n.º 2 (18 de noviembre de 2018): 19–22. http://dx.doi.org/10.3126/njog.v13i2.21699.

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Aims: Vesico-vaginal fistula (VVF) is an abnormal fistulous communication between the bladder and/or urethra and the vagina that allows continuous involuntary discharge of urine into the vaginal vault affecting patients’ medical, physical, mental, social and sexual life. The aim of this study was to review and deliver a profile, their demography and outcome in the early phase of fistula surgery performed in our institute. Methods: This was a retrospective study of 222 patients who underwent fistula surgery during the period of January 2012 to March 2018 in Kathmandu Model Hospital. The fistula were classified according to Goh`s system. Patients’ demography, obstetric characteristics and fistula repair outcomes were reviewed. The primary outcome was in terms of urinary continence. Results: A total of 222 women aged between 10 to 65 years with a mean age of 31.4 were included. Majority of the patients had fistula due to obstetrical cause, contributing 58% (n=127) and in 42 % (n=95) of patients had fistula of gynecological etiology. Most of the patients had fistula of type 1a, contributing 38% (n=84) and only 0.01% (n=3) of type 3c and 4b according to Goh’s classification. Among 127 fistulas repaired of obstetric etiology100 (78.7%) patients and 85 (89.4%) out of 95 fistula patients of gynecological cause were continent and dry. Conclusions: Our study showed obstructed and prolonged labor was the major cause of obstetric fistula, however iatrogenic fistula was also becoming common. Majority of our cases had successful outcome with some degree of stress in some patients.

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Pradhan, Hema Kumari, Ganesh Dangal, Aruna Karki, Ranjana Shrestha, Kabin Bhattachan, Amit Mani Upadhyay, Rekha Poudel, Nishma Bajracharya, Kenusha Devi Tiwari y Sonu Bharati. "Clinical Profile of Urogenital Fistula in Kathmandu Model Hospital". Journal of Nepal Health Research Council 18, n.º 2 (7 de septiembre de 2020): 210–13. http://dx.doi.org/10.33314/jnhrc.v18i2.2376.

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Background: To determine the causes of fistula and to share our experience in treating urogenital fistula and its surgical outcome.Methods: This was a retrospective study done at Kathmandu Model Hospital from January 2014 to June 2019 including 261 patients operated for fistula. The patients were analyzed for age, type of fistula, cause, treatment and surgical outcome.Results: Out of 261 patients operated, 59.38% cases had obstetric fistula, 38.69% had iatrogenic and 1.92% had traumatic fistula. Most of the patients with obstetric fistula were between 21 to 25 years of age whereas iatrogenic fistulae were between 46-50 years of age. The majority (54.84%) of obstetric fistulae were vesicovaginal fistula (54.84%) while the commonest type (77.36%) of iatrogenic fistula was vault fistula after abdominal hysterectomy. Conclusions: This study showed that obstructed and neglected labor was still the major cause of genitourinary fistula in Nepal nevertheless iatrogenic fistula following pelvic surgery is increasing. The surgical outcome of repair of fistula was good.Keywords: Latrogenic fistula, obstructed labour, urogenital fistula.

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Gele, Abdi A., Abdulwahab M. Salad, Liban H. Jimale, Prabhjot Kour, Berit Austveg y Bernadette Kumar. "Relying on Visiting Foreign Doctors for Fistula Repair: The Profile of Women Attending Fistula Repair Surgery in Somalia". Obstetrics and Gynecology International 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/6069124.

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Obstetric fistula is treatable by surgery, although access is usually limited, particularly in the context of conflict. This study examines the profile of women attending fistula repair surgery in three hospitals in Somalia. A cross-sectional study was conducted in Somalia from August to September 2016. Structured questionnaires were administered to 81 women who registered for fistula repair surgery in the Garowe, Daynile, and Kismayo General Hospitals in Somalia. Findings revealed that 70.4% of the study participants reported obstetric labor as the cause of their fistula, and 29.6% reported iatrogenic causes. Regarding the waiting time for the repair surgery, 45% waited for the surgery for over one year, while the rest received the surgery within a year. The study suggests that training for fistula surgery has to be provided for healthcare professionals in Somalia, fistula centers should be established, and access to these facilities has to be guaranteed for all patients who need these services.

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Dangal, G., K. Thapa, K. Yangzom y A. Karki. "Obstetric Fistula in the Developing World: An Agonising Tragedy". Nepal Journal of Obstetrics and Gynaecology 8, n.º 2 (5 de febrero de 2014): 5–15. http://dx.doi.org/10.3126/njog.v8i2.9759.

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Obstetric fistulae is the most tragic of preventable childbirth complications in the developing world, as affected women are often abandoned by their husbands and family, and forced to live in shame. They occur almost entirely in the developing world and their incidence is poorly studied. Their management requires accurate diagnosis, sufficient pre-operative work-up, fine surgery following standard surgical repair steps and principles by skilled surgeons, specialised post-op care, and follow-up. As obstetric fistula is a serious preventable public health issue in developing countries, national and international organizations should launch a campaign to end fistula by increasing the resources and skilled staff available locally to treat obstetric fistula for improving the lives of women currently living with this condition. Moreover, effective preventive strategies for obstetric fistula such as better education to women and provision of improved obstetric care and searching for the best approaches to both prevention and treatment should be the priority. The materials published in PubMed, Lancet, Medline, WHO and Google Scholar web pages from 1990 to 2013 have been utilized to prepare this paper.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 5-15 DOI: http://dx.doi.org/10.3126/njog.v8i2.9759

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Danys, Donatas, Narimantas Evaldas Samalavičius, Gytis Žaldokas y Edgaras Smolskas. "Rektovaginalinių fistulių gydymas naudojant Martius lopą: klinikinis atvejis". Lietuvos chirurgija 13, n.º 2 (1 de enero de 2014): 118–22. http://dx.doi.org/10.15388/lietchirur.2014.2.3081.

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ĮžangaRektovaginalinė fistulė yra apibūdinama kaip epitelizuota nenormali jungtis tarp tiesiosios žarnos ir makšties. Ši fistulė sudaro apie 5 % visų tiesiosios žarnos ir išangės fistulių. Dažniausios rektovaginalinės fistulės atsiradimo priežastys yra gimdymotraumos, lėtinės uždegiminės žarnų ligos, žema priekinė tiesiosios žarnos rezekcija, hemorojinių mazgų ir dubens srities chirurgija. Gydymo galimybių yra daug: endorektalinis, transvaginalinis ar transperinealinis uždarymas, pažeistos vietos rezekcija,gydymas autologinėmis kamieninėmis ląstelėmis, fistulės drenavimas ar graciloplastika. Esant žemai rektovaginalinei fistulei, Martius lopas yra tinkamas pasirinkimas dėl gerų pooperacinių rezultatų bei mažo donorinės vietos kosmetinio irfunkcinio pažeidimo.Klinikinis atvejisPacientei buvo diagnozuotas žemas tiesiosios žarnos navikas ir po neoadjuvantinės chemoradioterapijos atlikta priekinė tiesiosios žarnos rezekcija bei suformuota prevencinė ileostoma. Tos pačios hospitalizacijos metu ileostoma uždaryta. Pooperaciniu laikotarpiu atsirado rektovaginalinė fistulė. Tuomet pacientė gavo adjuvantinę chemoterapiją. Po jos atlikta graciloplastika ir suformuota ileostoma. Po dviejų mėnesių rektovaginalinė fistulė vėl pasikartojo. Dėl rektovaginalinės fistulėsrecidyvo alikta Martius lopo operacija. Praėjus mėnesiui po operacijos, apžiūrėdamas pacientę chirurgas rektovaginalinės fistulės recidyvo nerado.IšvadosMartius lopo technika naudojant riebalinio audinio lopą yra tinkamas pasirinkimas gydant rektovaginalines fistules.Reikšminiai žodžiai: rektovaginalinė fistulė, Martius lopasThe Martius flap for repair of low rectovaginal fistula: a case reportDonatas Danys, Narimantas Evaldas Samalavičius, Gytis Žaldokas, Edgaras Smolskas BackgroundRectovaginal fistula is defined as an epitheliumlined abnormal communication between the rectum and the vagina. It is reported to represent approximately 5% of all anorectal fistulas. The most common causes of rectovaginal fistulas are obstetric traumas, chronic inflammatory bowel diseases, low anterior rectal resection, hemorrhoid and pelvic surgery. There are many treatment options, such as endorectal, transvaginal or transperineal closure, resection of the affected part, treatment with autologous stem cells, seton drainage or graciloplasty. For low fistulas, the Martius flap is referred to as an excellent choice of tissue transfer with no functional and low cosmetic deficit of the donor site.Case reportA patient was diagnosed with low rectal cancer and after neoadjuvantive chemoradiotherapy underwent anterior rectal resection. Preventive ileostomy was made. Later, due to the fluent postoperative progress, ileostomy closure was performed. In the postoperative period, a rectovaginal fistula occurred. Then, the patient was given adjuvantive chemotherapy. After that, graciloplasty for the rectovaginal fistula and ileostomy were performed. After two months, a rectovaginal fistula occurred again, and the Martius flap repair was performed.ConclusionThe Martius flap technique using a fat pad flap is a decent choice for low rectovaginal fistulas. A well vascularised interposition flap between the vagina and the rectum gives good results.Key words: rectovaginal fistula, the Martius flap

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Begum, SN. "Genitourinary Fistula Experience in a Peripheral Hospital of Bangladesh". Journal of Bangladesh College of Physicians and Surgeons 29, n.º 4 (21 de julio de 2012): 207–12. http://dx.doi.org/10.3329/jbcps.v29i4.11328.

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Genitourinary fistula is one of the most dreadful complications encountered in obstetrics and gynaecology and constitute a major surgical challenge for the urogynecologist. With advanced obstetric care, this fistula is rare in industrialized world but it is still a major health problem in underdeveloped countries, particularly in sub- Saharan Africa and Asia including Bangladesh. Victim of fistula become physically cripple, socially outcast, psychologically traumatized. Surgical repair is the definitive cure. A surgeon with adequate training and experience can optimize outcome of surgery by modifying techniques. Repair of vesicovaginal fistula remains a major challenge to surgeon worldwide. Aim of the study was to undertake a baseline evaluation of all genitourinary fistula cases and to share the experience of management of fistula with others. This descriptive study was conducted in the department of Obstetrics and Gynaecology, Sylhet M.A.G. Osmani MedicalCollege Hospital. A total 311 genitourinary fistula cases were admitted and managed here from July 2004 to March 2010. In this study 64.63% of the patients were between 20-35yrs of age (range 18-70yrs), 42.76% were primipara whereas 20.57% were grandmulti. Height was <145cm in 67.84% cases. Majority (80.38%) of the patients were from poor socioeconomic status; 91.63% was housewife, and 89.38% was illiterate. Obstructed labour was responsible for 86.81% of fistula. Vesico-vaginal fistula was the most common (87.46%) type of fistula and 79.43% of fistula was complex in nature. 92.10% had local repair through vaginal approach, labial fat graft was used in 44% cases. In this study out of 242 operation 85.54 %(n-207) had successful repair. Among them 75.61% patient were completely continent. Causes of failure were likely to be due to extensive scarring with loss of tissue, previous failed repair, large size of fistula and in some cases post-operative catheter problem and infection. Fistula is largely a preventable condition. More emphasis should be given on prevention of fistula by increasing community awareness, female education and empowerment, avoiding early marriage, family planning, improved maternity services, timely referral and availability of emergency obstetric care services. DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11328 J Bangladesh Coll Phys Surg 2011; 29: 207-212

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Nahar, N., S. Chaudhury y M. Zillur Rahman. "Study of Urogenital Fistula in Rajshahi Medical College Hospital". TAJ: Journal of Teachers Association 24, n.º 2 (28 de noviembre de 2018): 91–94. http://dx.doi.org/10.3329/taj.v24i2.37510.

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This cross-sectional study was carried out in the gynae department of Rajshahi Medical College Hospital during the year January 2005 to December 2011, where 202 patients were studied for obstetric history, previous attempt at repair, the condition of the patient, the route of repair, age, etiological factors, techniques of surgery, socio-economic conditions, as well as treatment & results. Among 202 cases, surgery was done in 136 cases (67.33%). Among them 126 were successful (92.65%) and 10 failed (9.35%). Obstetric fistula results from obstructed labour occur mostly in the first pregnancy in young women. Prevention will include education, communication, transport, health care measures and prevention of early marriage. Awareness for mandatory hospital delivery in high risk pregnancies also can reduce obstetric fistulas. With good pre-operative intra-operative and post operative care and attention to surgical details may cure these affected woman.TAJ 2011; 24(2): 91-94

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Shrestha, Ranjana, Kenusha Devi Tiwari, Ganesh Dangal, Aruna Karki, Hema Pradhan, Kabin Bhattachan, Rekha Poudel, Nishma Bajracharya y Sonu Bharati. "Pregnancy after Obstetric Fistula: Should It Be Encouraged?" Nepal Journal of Obstetrics and Gynaecology 13, n.º 3 (31 de diciembre de 2018): 56–58. http://dx.doi.org/10.3126/njog.v13i3.23447.

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Obstetric fistula (OF) is a life-changing morbidity associated with childbirth. It occurs especially after a prolonged obstructed labor and is a major public health problem in the developing countries. The smell of stool and urine leads to the ostracization and rejection of fistula patients by their spouses, families, friends and society in whole. Surgical treatment of fistula is possible. However, this successful outcome of fistula repair surgery is dependent on pre-operative care and the post-operative care such as delaying the commencement of sexual intercourse and delaying conception. Family planning can aid to this. Pregnancy is advised after minimum of 12 months’ post-repair and mode of delivery should be elective cesarean section. Here, we present a case of 23 years’ female, who suffered from obstetric fistula who underwent obstetric fistula repair twice, re-married and conceived after a year with successful elective cesarean delivery.

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Ara, Rowshan, Abu Taher Mohammad Nurul Amin, Md Shadiqul Hoque y Setara Binte Kasem. "Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital". Bangladesh Journal of Obstetrics & Gynaecology 31, n.º 1 (12 de octubre de 2017): 34–39. http://dx.doi.org/10.3329/bjog.v31i1.34274.

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Objective(s): To carry out a prospective review of patients who had undergone surgical repair of genitourinary fistula to determine patients characteristics and to explore success of surgery in relation to aetilogy of fistula and attempt of surgery.Materials and Methods : This cross-sectional study was carried out in patients attending the Fistula centre in Dhaka Medical College and Hospital (DMCH) from April 27th to July25th, 2013. Out of 47 patients 27 were recruited for this study. Detailed history was taken about socio-demographic character, gestational age, duration of labour, mode of delivery, conduction of labour and foetal outcome. Causes of fistula, information about fistula repair and success rate were noted. Main outcome measures were successful repair and correlation of success with aetiology of fistula, attempt of surgery. Data were analyzed by SPSS package. A p value of <0.5 was considered as significant.Results: Mean age of the patients was 33.73± 10.73 years with a range of 17 to 58 years and mean height was 144.67±3.013cm. Most of the women (66.7%) were from lower social class. The most common fistula 19 (70.37%) was obstetric due to obstructed labour and in 8 (25.93%) cases it was due to consequence of gynaecological surgery. Mean gestational age of the foetus were 38.57±1.409 weeks and duration of labour was 34.83±14.618 hours. Out of 27 patients, 7 had prior fistula repair without success, 4 patients had prior 2 attempts and 3 had previous 3 and 4 attempts. In 21 patients surgical repair was done through vaginal route while 6 required abdominal approach. Local repair was done in 18 (66.67%) cases and grafting was done in 5(18.52%) cases. Fifteen (55.56%) patients had successful repair and success rate was more when it was first attempted (90%) and 20% in repeat attempt but it was statistically significant p<0.05. Success of repair was more when causes of fistula was gynaecological (87.50%) than when it was obstetrical (42.11%), p<0.05.Conclusion: Success of surgery of genitourinary fistula depends upon so many factors. Gynaecological fistula can be repaired more successfully than obstetrical one. First attempt of surgery is the best attempt, so must be done at skilled hand.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 34-39

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Tesis sobre el tema "Obstetric fistula surgery/repair"

Delamou, Alexandre. "Towards a fistula free generation: Lessons learned from long-term follow-up of women after obstetric fistula repair in Guinea". Doctoral thesis, Universite Libre de Bruxelles, 2018. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/268612.

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BACKGROUND: Obstetric fistula (OF) is described as a health and human rights tragedy due to its devastating consequences and debilitating sequelae. In sub-Saharan Africa, the lifetime prevalence of OF symptoms is estimated at 3.0 cases (95% CI 1.3-5.5) per 1000 women of reproductive age. In Guinea, this prevalence is 6·0 (95% CI 3·9–7·4) per 1000 women of reproductive age, a double that of sub-Saharan Africa. As maternal mortality reduction is accelerating in many countries due to better access to cesarean section and more women are benefiting treatment for OF worldwide, women who have a successful fistula repair need more attention to prevent fistula recurrence and adverse maternal and neonatal outcomes.AIM: To analyze the long-term reproductive health outcomes in women who undergo fistula surgery in Guinea and contribute to closing the knowledge gap on the reproductive health of women after fistula surgery.METHODS: The situational analysis of fistula management programs in Guinea included three retrospective cohort studies. Study I analyzed the clinical outcomes of fistula care programs in Guinea. Study II analyzed the trends and factors associated with loss to follow-up after surgical repair of obstetric fistula in Guinea. Study III estimated the overall proportions of surgical failure of fistula closure and incontinence among women undergoing repair for obstetric fistula in Guinea and identified factors associated with these outcomes. To analyze the health and reproductive outcomes in women after female genital fistula surgery in Guinea, two studies (IV and V) were conducted. Study IV critically reviewed the existing literature on pregnancy and childbirth post repair of obstetric fistula and Study V analyzed the incidence of fistula recurrence and pregnancy post repair along with the associated maternal and neonatal outcomes. RESULTS: Routine programmatic repair of OF was found to achieve satisfactory short-term clinical outcomes with 85% of women having their fistula closed and 79% becoming continent after surgery (Study I). However, additional 18% recurrence and 10% residual urinary incontinence were recorded within 28 months median follow-up post-surgery (Study V). Reimbursement of transportation costs and the reduction of geographical barriers to care for women with OF were highly related to reduced loss to follow-up after hospital discharge (Study II). Women who present for surgery with a damaged urethra and those who delivered vaginally during the delivery leading to the fistula were more likely to experience surgical repair failure and residual urinary incontinence (Study III). Women who become pregnant and deliver after fistula repair in sub-Saharan Africa were identified as carrying high risk of adverse maternal and neonatal health outcomes (Study IV). In Guinea, only few women achieved pregnancy (28%) after surgery. Stillbirths (24%) and recurrence of fistula after delivery (14%) were common among women who delivered after fistula repair (Study V). CONCLUSIONS: Improving the performance of fistula management programs in the context of decentralization of services in Guinea needs therefore to integrate long-term perspectives. This should include establishing a “level of care framework” into fistula surgery along with training for health providers, tracing of women after repair, and increased community awareness-raising that include men and target gender inequalities (Studies I to III). Increasing funding and support for fistula care from both local governments and international donors is needed in the current context of decentralization of fistula care to address service gaps for women suffering from fistula (Studies III to V). Achieving a fistula free generation should include interventions to address women’s vulnerability before fistula formation and after fistula repair (Studies IV and V).
Doctorat en Sciences de la santé Publique
info:eu-repo/semantics/nonPublished

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Muia, Catherine Mwikali. "Women's perceptions and experiences of post-operative physiotherapy management at an Obstetric Fistula Center in Eldoret, Kenya". University of the Western Cape, 2017. http://hdl.handle.net/11394/6301.

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Masters of Science - Msc (Physiotherapy)
Post-operative physiotherapy plays a vital role in the management of patients with incontinence in order to optimise the outcome of obstetric fistula surgery. Women who suffer residual urinary incontinence continue to experience shame, social isolation and institutional rejection. Incontinence continues to impair them leading to lower levels of role participation and restriction in most activities. Gynocare Fistula Center, Eldoret, receives a number of referrals for women with obstetric fistula requiring surgical and physiotherapy care. Many studies have focused on the determinants of surgical outcomes and social reintegration but none have focused on woman's perceptions and experiences with postoperative physiotherapy. While continence is not always achieved immediately after surgery, this study was designed to explore women's perceptions and experience of postoperative physiotherapy management at an obstetric fistula center in Eldoret,Kenya. Participants were then asked about their experiences and related perceptions and perceived challenges regarding the physiotherapy service following discharge from the Center. An explorative qualitative method was used to explore the women's perceptions and experiences of the post-operative physiotherapy management, as well as their perceived challenges regarding access to physiotherapy post discharge.

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Libros sobre el tema "Obstetric fistula surgery/repair"

Obstetric fistula. Wien: Springer-Verlag, 1988.

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Osman, Nadir I. y Christopher R. Chapple. Urinary fistula. Editado por Christopher R. Chapple. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0041.

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Genitourinary fistulae (GuF) are one of the oldest described causes of incontinence. They are associated with significant social and psychological debilitation. In developed countries, they most commonly occur after iatrogenic injury to the urinary tract during gynaecological surgery for benign conditions, whereas in developing countries the most common cause remains prolonged obstetric labour. The most frequent type of GuF occurs between the bladder and vagina. GuF require careful evaluation to confirm the diagnosis and assess the number, location, and anatomy of defects, as well as any associated injuries before operative management is undertaken. The surgical approach to each fistula is individualized and relies upon the use of healthy vascularized tissue to repair defects, preferably with interposition of a tissue flap to augment repairs.

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Tears for My Sisters: The Tragedy of Obstetric Fistula. Johns Hopkins University Press, 2018.

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Todd, Claire y Bruce McCormick. Thoracic surgery. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198719410.003.0015.

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This chapter discusses the anaesthetic management of thoracic surgery. It begins with general principles of thoracic surgery, including isolation of the lungs, one-lung ventilation, and providing analgesia for thoracic surgery. Surgical procedures covered include rigid bronchoscopy and bronchial stent insertion, mediastinoscopy, wedge resection, lobectomy, pneumonectomy, thoracoscopy and video-assisted thoracoscopic surgery, drainage of empyema and decortications, lung volume reduction surgery and bullectomy, repair of bronchopleural fistula, pleurectomy and pleurodesis, oesophagectomy, and surgical management of chest injuries.

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Justaniah, Almamoon I. Permanent Ureteral Occlusion. Editado por S. Lowell Kahn, Bulent Arslan y Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0090.

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Distal ureteral injuries are uncommon. When present, urine leakage may ensue. Common etiologies are gynecologic surgeries (75%), trauma, pelvic malignancy, and radiation therapy. Clinical presentation varies according to the location of leakage or fistula. For example, patients with ureterovaginal fistula may present with vaginal discharge. Patients with intra-abdominal leakage may develop urinoma or abscess. Unfortunately, most of these patients are poor surgical candidates due to prior surgery and/or radiation. Therefore, operative repair can be challenging and at times not a valid option. Transrenal ureteral occlusion may provide the best available option for such patients. A trial of urine diversion via percutaneous nephrostomy tube may allow spontaneous healing. If this fails, ureteral occlusion proximal to the leak/fistula can be attempted with a success rate up to 100%. Occlusion techniques include ureteral clipping, radiofrequency cauterization, embolization coils, Amplatzer vascular plugs, detachable balloons, absolute alcohol, and isobutyl-2-cyanoacrylate (glue).

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Dohle, Gert R. Surgical treatment of male infertility. Editado por David John Ralph. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0097.

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Surgical treatment of male infertility is indicated in men with obstructive azoospermia due to epididymal and vassal blockage, in infertile men with a varicocele and oligozoospermia, and to harvest spermatozoa for future intracytoplasmic sperm injection (ICSI). Testis biopsy may be performed in men with normal testis volume and normal gonadotrophins to confirm the diagnosis of obstructive azoospermia. Furthermore, testis biopsies are indicated in men with risk factors for testis cancer, such as infertility and ultrasonograhic abnormalities.Varicocele repair seems effective in case of an infertility duration of at least 2 years, oligozoospermia, and otherwise unexplained infertility in a couple. The advantages of surgery in these couples are a fair chance of spontaneous pregnancies at relative low cost and with less obstetric problems and birth defect compared to pregnancies from IVF procedures.

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Capítulos de libros sobre el tema "Obstetric fistula surgery/repair"

Hadidi, Ahmed T. "Fistula Repair". En Hypospadias Surgery, 277–82. Berlin, Heidelberg: Springer Berlin Heidelberg, 2004. http://dx.doi.org/10.1007/978-3-662-07841-9_38.

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Cordova, Adriana, Matteo Rossi, Daniele Matta y Emanuele Cammarata. "Chest Fistula Repair". En Plastic and Cosmetic Surgery of the Male Breast, 115–26. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-25502-2_13.

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Yeung, Lawrence L., James Mason y Justin Dersch. "Robotic Rectovesical Fistula Repair". En Atlas of Robotic Urologic Surgery, 339–49. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-45060-5_24.

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Schommer, Eric A., Steven P. Petrou y David D. Thiel. "Robotic Vesicovaginal Fistula Repair". En Atlas of Robotic Urologic Surgery, 365–74. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-45060-5_26.

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Marecik, Slawomir, Ariane M. Abcarian y Leela M. Prasad. "Complications of Rectovaginal Fistula Repair". En Complications of Anorectal Surgery, 181–208. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48406-8_10.

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Wexner, Steven D. y Emanuela Silva. "Secondary Anal Sphincter Repair". En Gynecologic and Obstetric Surgery, 392–95. Oxford, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118298565.ch130.

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Wadhwa, Pankaj y Ashok K. Hemal. "Robotic Repair of Vesico-vaginal Fistula". En Robotics in Genitourinary Surgery, 611–16. London: Springer London, 2011. http://dx.doi.org/10.1007/978-1-84882-114-9_54.

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Ingber, Michael y Ray Rackley. "Vesicovaginal and Urethrovaginal Fistula Repair". En Complications of Female Incontinence and Pelvic Reconstructive Surgery, 157–64. Totowa, NJ: Humana Press, 2012. http://dx.doi.org/10.1007/978-1-61779-924-2_14.

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Ingber, Michael y Raymond R. Rackley. "Vesicovaginal and Urethrovaginal Fistula Repair". En Complications of Female Incontinence and Pelvic Reconstructive Surgery, 231–38. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49855-3_21.

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Carlson, Gregory A. "Surgical Repair of Femoral Arteriovenous Fistula". En Operative Dictations in General and Vascular Surgery, 929–30. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44797-1_275.

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Actas de conferencias sobre el tema "Obstetric fistula surgery/repair"

Dogan, AT, K. Cosarcan y O. Ercelen. "ESRA19-0549 Ultrasound assisted thoracic epidural for oesophageal atresia with tracheo-oesophageal fistula repair surgery". En Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.329.

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