medical notes

Apr 17th, 2015
Studypool Tutor
Price: $10 USD

Tutor description

Word Count: 1704
Showing Page: 1/11
FISTULASIntroduction: Fistulas in gynecologic surgery are associated with malignancy;prior radiation therapy; intraoperative bowel, bladder, or ureteralinjury; and obstetric trauma (e.g. fourth-degree lacerations,breakdown of episiotomy repairs). Vesicovaginal, rectovaginal, and enterocutaneous fistulas are themost commonly seen of this rare complication. Rectovaginal fistulas occur after obstetric trauma or vaginalsurgery. Primary transvaginal repair has an approximately 90% success ofclosure. Larger, recurrent, or irradiated defects may require divertingcolostomy while the repair heals Enterocutaneous fistulas may present initially with wounderythema, followed by feculent drainage from the incision site. Treatment of enterocutaneous fistulas consists of keeping thepatient from oral intake over a period of 2-4 weeks,supplementation with total parenteral nutrition, and nasogastricdecompression. If spontaneous closure does not occur, surgical repair will benecessary.Vesicovaginal fistulaDefinition Vesicovaginal fistula (VVF) is a subtype of female urogenitalfistula (UGF). A VVF is an abnormal communication between the urinarybladder and the vagina that results in the continuousinvoluntary discharge of urine into the vaginal vaultEpidemiology In developing countries, the predominant cause of VVF isprolonged obstructed labor (97%). VVFs are associated with marked pressure necrosis, edema,tissue sloughing, and

Review from student

Studypool Student
" Thank you, Thank you, for top quality work, this is your guy!! "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1829 tutors are online

Other Documents

04/17/2015
04/17/2015
04/17/2015
04/17/2015
04/17/2015
04/17/2015
04/17/2015
04/17/2015

Brown University





1271 Tutors

California Institute of Technology




2131 Tutors

Carnegie Mellon University




982 Tutors

Columbia University





1256 Tutors

Dartmouth University





2113 Tutors

Emory University





2279 Tutors

Harvard University





599 Tutors

Massachusetts Institute of Technology



2319 Tutors

New York University





1645 Tutors

Notre Dam University





1911 Tutors

Oklahoma University





2122 Tutors

Pennsylvania State University





932 Tutors

Princeton University





1211 Tutors

Stanford University





983 Tutors

University of California





1282 Tutors

Oxford University





123 Tutors

Yale University





2325 Tutors