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Vesicouterine fistulas occur most commonly after lower segment caesarean sections (about 83-93% of cases). [2] The possible mechanisms by which vesicouterine fistulas occur following caesarean sections include undetected bladder injury during caesarean section, inadvertent placement of a suture through the bladder during the repair of the uterus and abnormal blood vessel connections following ...
Tracheoinnominate fistula (TIAF or TIF) is an abnormal connection between the innominate artery (brachiocephalic trunk or brachiocephalic artery) and the trachea. A TIF is a rare but life-threatening iatrogenic injury, usually the sequela of a tracheotomy .
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
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Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.
Surgery to treat a CSF-venous fistula in CSF leak patients is highly effective. [86] Neurosurgery is available to directly repair leaking meningeal diverticula . The areas of dura leak can be tied together in a process called ligation and then a metal clip can be placed in order to hold the ligation closed. [ 24 ]
Another challenge is the lack of trained professionals to provide surgery for fistula patients. As a result, nonphysicians are sometimes trained to provide obstetric services. For example, the Addis Ababa Fistula Hospital has medical staff without formal degrees, and one of its top surgeons was illiterate, but she had been trained over years ...
If the fistula cannot be repaired, the clinician may create a permanent diversion of urine or urostomy. [6] Risks associated with the repair of the fistula are also associated with most other surgical procedures and include the risk of adhesions, disorders of wound healing, infection, ileus, and immobilization. There is a recurrence rate of 5% ...
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