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sunflower
12-08-09, 12:43 AM
Chiều thứ 3 , 11-08-09, Thầy có mổ 1 cas rò âm đạo bàng quang (vesicovaginal fistula) ở BVĐKTP. Đây là tình trạng khá phổ biến, do tai biến trong phẩu thuật sản phụ khoa.

Do không có thời gian nên Sun không tìm tài liệu kịp, mấy bạn tham khảo theo từ khóa này hé!
http://i570.photobucket.com/albums/ss142/sunflower0103/vaginal-fistulas-275-enlg.jpg

Same
23-08-09, 10:35 AM
Obstetric fistula (or vaginal fistula) is a severe medical condition in which a fistula (hole) develops between either the rectum and vagina (see rectovaginal fistula) or between the bladder and vagina (see vesicovaginal fistula) after severe or failed childbirth, when adequate medical care is not available.

Causes
The fistula usually develops when a prolonged labor presses the unborn child so tightly in the birth canal that blood flow is cut off to the surrounding tissues, which necrotise and eventually rot away. More rarely, the injury can be caused by female genital cutting, poorly performed abortions, or pelvic fractures.

Other potential direct causes for the development of obstetric fistula are sexual abuse and rape, especially within conflict/post-conflict areas, other surgical trauma, gynecological cancers or other related radiotherapy treatment and, perhaps the most important, limited or no access to obstetrical care or emergency services.

Distal causes that can lead to the development of obstetric fistula concern issues of poverty, lack of education, early marriage and childbirth, the role and status of women in developing countries, and harmful traditional practices and sexual violence. Poverty, early marriage, and lack of education place women in positions of severe disadvantage and do not enable them to be advocates for their own health and wellbeing.


Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequelae from these fistulas, they often have a profound effect on the patient's emotional well-being. This article reviews the etiology of VVF, the surgical principles of repair, and the techniques developed for their repair.

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http://www.miklosandmoore.com/images/vesicovaginal_fistula3.jpg