Tulsi Patel, Rodger Brown, Ennet Chipungu, Michael Breen, Jennifer Draganchuk, Patrick Nampandeni, Awol Legesse, Jeffrey Wilkinson
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引用次数: 0
Abstract
Objective: Globally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post-operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair.
Design: Retrospective case series.
Setting: Malawi, Fistula Care Centre.
Methods: Patients were followed for 3 months after discharge to determine continence and healing.
Results: Five of six patients were continent at 3 months and one was lost to follow-up by dry at a one month post-operative phone call. There were no major complications.
Conclusions: The rectus abdominus flap may be a useful adjunct to repair of complex obstetric fistula.
期刊介绍：
BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.
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