Management Of Vesicouterine Fistulae During "Fistulae Surgical Caravan" in Cote D'ivoire

Aims: Describe the epidemiological, clinical and therapeutic characteristics of patients treated for vesico-uterine fistula. Methods: This was a case series of 34 patients prospectively collected for descriptive purposes. Theywere treated for Vesico-uterine fistulae during "fistulas surgical caravans" from 1stJanuary 2012 to 31st December 2016. Results: Vesico-uterine fistulae represented 2.1% of all treated urogenital fistulae. At the time of fistula occurrence, the average age of the patients was 33.3 years, and the majority were illiterate (88.2%), lived in rural areas and were unemployed (73.5%). All the fistulae were associated to childbirth, the majority of which took place on a scarred uterus (67.6%). And this childbirth responsible for the fistula was a delivery done by caesarean section in 97.7% of cases. Average duration of the fistula before management was 6 years. Finally, all the patients were operated by the same surgical technique, made by abdominal extra peritoneal transvesical way. The successful first repair rate was 97.1% in 33 patients. The only case of failure was successfully cured using surgical another technique in a second attempt. Conclusion: The vesicouterine fistulae were rare, were mostly associated to previous uterus surgical history and the successful rate is almost 100%.

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Management of Vesicouterine Fistulae during "Fistulae Surgical Caravan" in Cote D'ivoire

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v13i2.21713 ◽

2018 ◽

Vol 13 (2) ◽

pp. 27-31

Author(s):

L.E. Djanhan ◽

J.M. Dia ◽

M.M. Menin ◽

B. Kouamé ◽

E. Bohoussou ◽

...

Keyword(s):

Caesarean Section ◽

Surgical Technique ◽

Rural Areas ◽

Average Duration ◽

Case Series ◽

Repair Rate ◽

Vesicouterine Fistulae ◽

Surgical History ◽

Scarred Uterus ◽

Urogenital Fistulae

Aims : To describe the epidemiological, clinical and therapeutic characteristics of patients treated for vesico-uterine fistula. Methods : This was a case series of 34 patients prospectively collected for descriptive purposes. They were treated for Vesico-uterine fistulae during "fistulas surgical caravans" from 1st January 2012 to 31st December 2016. Results :Vesico-uterine fistulae represented 2.1% of all treated urogenital fistulae. At the time of fistula occurrence, the average age of the patients was 33.3 years, and the majority were illiterate (88.2%), lived in rural areas and were unemployed (73.5%). All the fistulae were associated to childbirth, the majority of which took place on a scarred uterus (67.6%). And this childbirth responsible for the fistula was a delivery done by caesarean section in 97.7% of cases. Average duration of the fistula before management was 6 years. Finally, all the patients were operated by the same surgical technique, made by abdominal extra peritoneal transvesical way. The successful first repair rate was 97.1% in 33 patients. The only case of failure was successfully cured using surgical another technique in a second attempt. Conclusion: The vesicouterine fistulae were rare, were mostly associated to previous uterus surgical history and the successful rate is almost 100%.

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Management of Vesicouterine fistulae during fistulae surgical caravan in Cote d'Ivoire

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175829 ◽

2017 ◽

Vol 7 (1) ◽

pp. 37

Author(s):

Djanhan L. E. ◽

Dia J. M. ◽

Menin M. M. ◽

Bohoussou E. ◽

Kouamé B. ◽

...

Keyword(s):

Surgical Technique ◽

Rural Areas ◽

Average Duration ◽

Descriptive Study ◽

Cure Rate ◽

Urogenital Fistula ◽

Vesicouterine Fistulae ◽

Variable Gravity ◽

Scarred Uterus ◽

Urogenital Fistulae

Background: The urogenital fistula (UGF) which designate a solution of continuity between the urinary and genital tracts in women, are divided into several entities of variable gravity. The objective of this study was to describe the epidemiological, clinical and therapeutic characteristics of patients treated for vesicouterine fistula during ‘fistulas surgical caravans’.Methods: This was a prospective and descriptive study on a cohort of 34 patients treated for Vesico-uterine fistulae during ‘‘fistulas surgical caravans '' from 1st January 2012 to 31st December 2016.Results: Vesico uterine fistulae represented 2.1% of all urogenital fistulae treated. At the time of occurrence of fistulas, the average age of the patients stay was 33.3 years, and the majority was not educated (88.2%), lived in rural areas without occupations (73.5%). All the fistulae were secondary to childbirth, the majority of which took place on a scarred uterus (67.6%). And this childbirth responsible for the fistula was done by caesarean section in 97.7% of cases. Then the average duration of the fistula before management was 6 years. Finally, all the patients were operated by the same surgical technique, made by abdominal extra peritoneal transvesical way. The cure rate after this surgical technique was 97.1% (33 patients). The only case of failure required a second operation by another technique which permitted the healing of the patient.Conclusions: The vesicouterine fistulae were rare and the satisfactory results of their management invite us to sustain these surgical caravans and ensure their widespread.

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The Endoscopic Endonasal Transethmoido-Sphenoidal Optic Nerve Decompression: Surgical Technique, Case Series, and Potential Indications

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0034-1384029 ◽

2014 ◽

Vol 75 (S 02) ◽

Author(s):

Berhouma Moncef ◽

T. Jacquesson ◽

T. Picart ◽

L. Abouaf ◽

J. Vighetto ◽

...

Keyword(s):

Optic Nerve ◽

Surgical Technique ◽

Case Series ◽

Endoscopic Endonasal ◽

Nerve Decompression ◽

Optic Nerve Decompression

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Faculty Opinions recommendation of Rapid sequence spinal anaesthesia for category-1 urgency caesarean section: a case series.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.6593956.793003111 ◽

2012 ◽

Author(s):

Martin Dresner

Keyword(s):

Caesarean Section ◽

Spinal Anaesthesia ◽

Case Series ◽

Rapid Sequence

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The extreme anterior interhemispheric transcallosal approach for pure aqueduct tumors: surgical technique and case series

Neurosurgical Review ◽

10.1007/s10143-021-01555-9 ◽

2021 ◽

Author(s):

Carlo Serra ◽

Uğur Türe

Keyword(s):

Surgical Technique ◽

Case Series ◽

Transcallosal Approach

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I315 Caesarean section - The surgical technique

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(09)60315-5 ◽

2009 ◽

Vol 107 ◽

pp. S78-S78

Author(s):

M. Stark

Keyword(s):

Caesarean Section ◽

Surgical Technique

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Hi-PoAD technique for Adolescent Idiopathic Scoliosis in Adult: Personal case series

European Spine Journal ◽

10.1007/s00586-021-06897-y ◽

2021 ◽

Author(s):

Cesare Faldini ◽

Francesca Barile ◽

Fabrizio Perna ◽

Stefano Pasini ◽

Michele Fiore ◽

...

Keyword(s):

Surgical Technique ◽

Idiopathic Scoliosis ◽

Case Series ◽

Deformity Correction ◽

Pedicle Screws ◽

Mechanical Complication ◽

Non Union ◽

Implant Retention ◽

Surgical Data

Abstract Purpose The aim of this article is to present an original surgical technique for the treatment of rigid Adult Idiopathic Scoliosis (AdIS) and the results at minimum 2 years follow-up in a cohort of 40 patients. Methods We retrospectively reviewed 40 patients affected by rigid AdIS, older than 40 years and operated with a posterior one stage surgical technique summarized with the acronym Hi-PoAD, (high-density pedicle screws, Ponte osteotomies, asymmetric rods contouring, direct vertebral rotation). The demographic and surgical data were collected, and the improvement of clinical scores and radiologic parameters was obtained after surgery, at 1 and 2 years and at final follow-up, to assess deformity correction, coronal and sagittal balance and clinical outcome. Results The average follow-up was 2.9 years (range 2–3.5). Average coronal Cobb angle decreased from 65.0° ± 8.4 to 18.9° ± 3.9 (p < 0.01). Rotation sagittal angle decreased from 26.2° ± 4.4° to 12.4° ± 2.8° (p < 0.01). Mean thoracic kyphosis improved from 23.1° ± 3.6° to 36.0° ± 3.9°. SRS-22 improved form 2.9 ± 0.4 to 3.7 ± 0.6 (p < 0.01). Four early post-operative deep wound infections were observed, all healed after debridement and implant retention. No mechanical complication, junctional kyphosis, deformity progression or non-union were recorded at the last follow-up. Conclusions Hi-PoAD technique proved to be safe and effective in the treatment of rigid Adult Idiopathic Scoliosis. The reason for the success is related to the combined strategies adopted, that dissipates corrective forces over several levels, reducing mechanical stress at the screw–bone interface and optimizing corrective potential.

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