medical notes

Apr 17th, 2015
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MRTH Department of Reproductive HealthProtocol for Vesico-Vaginal (VVF) and Recto-Vaginal Fistulae (RVF) Management.Pre-operative preparation:1. All patients being considered for fistula repair should undergo a complete clinical check-up involving detailed medical and obstetric history and a speculum examination with or without anesthesia. A methylene blue test should be done in the clinic if in doubt.2. All attempts should be made to identify leakage of urine/feces following childbirth. A repair can be attempted as soon as the fistula edge is clean, generally as early as 2 weeks. 3. Patients admitted for fistula repair should have their admission and hospital course documented in the obstetric fistula check list available in the clinic. They should be counseled on the procedure, choice of anesthesia. Informed consent should be obtained. 4. If patients are to be discharged home be

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