THE IMMEDIATE SURGICAL-MANAGEMENT OF FRESH OBSTETRIC FISTULAS WITH CATHETER AND/OR EARLY CLOSURE

被引：74

作者：

WAALDIJK, K ^{[1
]}

机构：

[1] MURTALA MUHAMMAD SPECIALIST HOSP,LAURE FISTULA CTR,KANO,NIGERIA

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 1994年 / 45卷 / 01期

关键词：

OBSTETRIC FISTULA; EARLY CLOSURE; CATHETER;

D O I：

10.1016/0020-7292(94)90759-5

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVES: To determine prospectively if the immediate surgical management of obstetric fistulas within the first 3 months by catheter and/or early closure is effective. METHODS: During a 10-month period (August 1992 through May 1993), a total of 170 patients with an obstetric fistula of less than 3 months' duration were treated A catheter was inserted of the fistula was necrotic, and as soon as the fistula edge was clean an early closure was performed unless the fistula had healed already. RESULTS: The fistula was closed in 156 (91.8%) of the 170 consecutive patients: with continence in 146 (93.6%), minimal/mild incontinence in 7 (4.5%) and severe incontinence in, 3 (1.9%) of the closed fistulas. In 14 patients (8.2% the fistula was not closed at first intention; however, 12 were closed at the second attempt. CONCLUSION: The immediate surgical management proved highly effective in terms of closure and continence.

引用

页码：11 / 16

页数：6