scholarly journals Vesicocervical fistula following vesicovaginal fistula repair report

2016 ◽  
Vol 8 (2) ◽  
pp. 125
Author(s):  
Hamudur Rahman ◽  
Md. Saiful Islam ◽  
Rafiqul Lslam ◽  
Md. Khairuzzaman ◽  
Sajid Hasan
Keyword(s):  
Urinary Bladder ◽  
Cesarean Section ◽  
Vesicovaginal Fistula ◽  
Married Woman ◽  
Rare Condition ◽  
University Hospital ◽  
Vaginal Vault ◽  
Fistula Repair ◽  
Medical University ◽  
Vesicocervical Fistula

Vesicocervical fistula following vesicovaginal fistula repair is a very rare condition. It is a complication following repeated lower uterine cesarean section. We report a case of an young married woman who was admitted in the depart­ment of urology, Banghabandhu Sheikh Mujib Medical University Hospital with vesico-cervical fistula following vesico­vaginal fistula repair. Reposition of cervix into vaginal vault and repair of urinary bladder was done. There was no such report of vesicocervical fistula following vesicovaginal fistula repair from Bangladesh.

scholarly journals Surgical treatment for secondary aortoesophageal fistula

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Kayo Sugiyama ◽  
Toru Iwahashi ◽  
Nobusato Koizumi ◽  
Toshiya Nishibe ◽  
Toshiki Fujiyoshi ◽  
...  
Keyword(s):  
Open Repair ◽  
Rare Condition ◽  
Aortic Aneurysms ◽  
Total Arch Replacement ◽  
University Hospital ◽  
Aortoesophageal Fistula ◽  
Thoracic Aortic Aneurysms ◽  
Life Threatening ◽  
Tokyo Medical ◽  
Medical University

Abstract Background Aortoesophageal fistula (AEF) is a relatively rare condition that is often life-threatening. Secondary AEF is a complication of previous surgery, which can be more critical and challenging than primary AEF. The number of secondary AEF is increasing due to increase in the number of thoracic endovascular aortic repair (TEVAR). Although TEVAR has become a successful alternative surgical strategy for thoracic aortic aneurysms, secondary AEF after TEVAR might be critical than other secondary AEF because of severe adhesion between the esophagus and residual thoracic aortic wall. Methods This study analyzed six patients with secondary AEF who were treated at Tokyo Medical University Hospital between 2011 and 2016. These participants included four patients who had undergone TEVAR and two who had undergone total arch replacement. Results Although they were subsequently hospitalized for a long period, open surgical repair was completed in two patients who had undergone total arch replacement. TEVAR alone was performed in two patients who had undergone TEVAR and they were discharged without major complications shortly. Combined repair of TEVAR as a bridge to open surgery was planned for two patients who had undergone TEVAR. However, reconstruction of the aorta and esophagus could not be completed in these patients due to severe adhesions, and they died during hospitalization. Conclusions Definitive open repair was successfully performed in patients with secondary AEF after total arch replacement. However, in the patients with secondary AEF after TEVAR, severe adhesion between the aorta and esophagus led to difficulty in performing a successful definitive open repair. The strategy for secondary AEF should, therefore, be decided considering the etiology of secondary AEF. In secondary AEF after TEVAR, definitive open repair is difficult to complete because of catastrophic complication, and palliative treatment using TEVAR without reconstruction of aorta and esophagus can be an alternative.

scholarly journals Surgical treatment for secondary aortoesophageal fistula

2020 ◽  
Author(s):  
Kayo Sugiyama ◽  
Toru Iwahashi ◽  
Nobusato Koizumi ◽  
Toshiya Nishibe ◽  
Toshiki Fujiyoshi ◽  
...  
Keyword(s):  
Open Repair ◽  
Rare Condition ◽  
Aortic Aneurysms ◽  
Total Arch Replacement ◽  
University Hospital ◽  
Aortoesophageal Fistula ◽  
Thoracic Aortic Aneurysms ◽  
Life Threatening ◽  
Tokyo Medical ◽  
Medical University

Abstract BackgroundAortoesophageal fistula (AEF) is a relatively rare condition that is often life-threatening. Secondary AEF is a complication of previous surgery, which can be more critical and challenging than primary AEF. The number of secondary AEF is increasing due to increase in the number of thoracic endovascular aortic repair (TEVAR). Although TEVAR has become a successful alternative surgical strategy for thoracic aortic aneurysms, secondary AEF after TEVAR might be critical than other secondary AEF because of severe adhesion between the esophagus and residual thoracic aortic wall.MethodsThis study analyzed six patients with secondary AEF who were treated at Tokyo Medical University Hospital between 2011 and 2016. These participants included four patients who had undergone TEVAR and two who had undergone total arch replacement.ResultsAlthough they were subsequently hospitalized for a long period, open surgical repair was completed in two patients who had undergone total arch replacement. TEVAR alone was performed in two patients who had undergone TEVAR and they were discharged without major complications shortly. Combined repair of TEVAR as a bridge to open surgery was planned for two patients who had undergone TEVAR. However, reconstruction of the aorta and esophagus could not be completed in these patients due to severe adhesions, and they died during hospitalization.ConclusionsDefinitive open repair was successfully performed in patients with secondary AEF after total arch replacement. However, in the patients with secondary AEF after TEVAR, severe adhesion between the aorta and esophagus led to difficulty in performing a successful definitive open repair. The strategy for secondary AEF should, therefore, be decided considering the etiology of secondary AEF. In secondary AEF after TEVAR, definitive open repair is difficult to complete because of catastrophic complication, and palliative treatment using TEVAR without reconstruction of aorta and esophagus can be an alternative.

scholarly journals Comparison of Vesicovaginal Fistula Repair with Omental transposition versus perivesical fat emplacement.

2019 ◽  
Vol 26 (12) ◽  
pp. 2146-2150
Author(s):  
Aijaz Hussain Memon ◽  
Mumtaz Ali ◽  
Salman Manzoor Qureshi ◽  
Wasim Sarwar Bhatti ◽  
Naveed Ahmed ◽  
...  
Keyword(s):  
Vesicovaginal Fistula ◽  
Bladder Capacity ◽  
University Hospital ◽  
P Value ◽  
Fistula Repair ◽  
Chi Square ◽  
Omental Transposition ◽  
Group 2 ◽  
Chi Square Analysis ◽  
Group 1

Objectives: To compare the outcome of Vesicovaginal fistula repair by omental transposition and perivesical fat emplacement in terms of recurrence and maximum bladder capacity. Study Design: Randomized control trial. Setting: Urology department of Peoples University Hospital Nawabshah, Sindh, Pakistan. Period: From January 2018 to December 2018. Material & Method: Overall 40 patients with VVF were added in the research, split into two identical groups, each consisting of 20. In group 1, omental transposition and in group 2, perivesical fat emplacement was done. Adult female patients with Vesicovaginal fistula, resulting from obstetrical and as a complication of surgery was included. This was confirmed by physical examination, IVU, pelvic computerized tomography scan with contrast, retrograde uretherocystogram, ultrasound KUB and cystoscopy. Exclusion criteria were Patients with systemic illness like diabetes mellitus, chronic renal failure and chronic liver disease etc, immunosuppressant therapy like: steroids intake, patient’s undergone irradiation of the pelvis due to any malignant disease. Follow up after 6, 12 and 24 weeks, all the patients were assessed for recurrence. The complications like wound infections, urgency, urge incontinence and paralytic ileus were also noted. The data was collected in a specially designed proforma. Results: In this study 40 patients fulfilling the inclusion criteria were included, 20 patients in each group. The success rate was 95 %( 19 /20) in group 1, only one case had recurrence. While in group 2 all the cases were successful. Chi square analysis was employed for comparison of adequacy of both the techniques, the P value was found to be 0.311 which suggests that the difference between the efficacies was not statistically significant. Conclusion: It is concluded that both the techniques of Vesicovaginal fistula repair, either with omental transposition or perivesical fat emplacement are equally good in terms of recurrence and maximum bladder capacity.

scholarly journals Effectiveness of B-lynch suture technique for treatment of high risk women for postpartum haemorrhage at Liaquat Medical University Hospital Hyderabad.

2020 ◽  
Vol 27 (03) ◽  
pp. 523-529
Author(s):  
Zakia Zaheen ◽  
Reema Akhter ◽  
Misha Khalid ◽  
Rozina Mujeeb Sahito ◽  
Rekha ◽  
...  
Keyword(s):  
High Risk ◽  
Blood Loss ◽  
Cesarean Section ◽  
Postpartum Haemorrhage ◽  
Suture Technique ◽  
University Hospital ◽  
Base Line ◽  
High Risk Women ◽  
Detailed Medical History ◽  
Medical University

Postpartum haemorrhage (PPH) is an incident in pregnant women and due to this reason women are delivered by vaginally or cesarean section. Globally most of the women die due to this significant reason. Several methods are being used to prevent hysterectomy when “uterotonic” drugs are fail in the management of postpartum haemorrhage. Objectives: To determine the effectiveness of B-lynch suture technique for treatment of high risk women with postpartum haemorrhage at Liaquat medical University Hospital Hyderabad. Study Design: Descriptive cases series. Setting: Department of the obstetric/Gynaecolgoy at Liaquat University hospital Hyderabad. Period: 6 months from 1st January to 30th June 2018. Material & Methods: There were fifty patients who were found high risk for PPH on history and clinical examination was included in this study. A detailed medical history and base line equitable investigation was done. They were operated irrespective of the surgical procedure by which B-Lynch suture technique was applied. Effectiveness was noted and all other data was entered on predesigned proforma attached with. Results: The average age of the patients was 31.54±6.54 years and Average blood loss the PPH patients were 931.38±32.994 ml.  Effectiveness of B-lynch suture technique for treatment of high risk women with postpartum haemorrhage was 88% as presented. Conclusion: In this study we found that “B-Lynch suture” technique is safe and effective for the management of postpartum hemorrhage.

V869: Robot Assisted Vesicovaginal Fistula Repair

2007 ◽  
Vol 177 (4S) ◽  
pp. 289-289
Author(s):  
Michael E. Woods ◽  
Jeff Bejma ◽  
Rodney Davis
Keyword(s):  
Vesicovaginal Fistula ◽  
Fistula Repair ◽  
Robot Assisted

scholarly journals Patient-Controlled Epidural Levobupivacaine with or without Fentanyl for Post-Cesarean Section Pain Relief

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Shin-Yan Chen ◽  
Feng-Lin Liu ◽  
Yih-Giun Cherng ◽  
Shou-Zen Fan ◽  
Barbara L. Leighton ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Epidural Analgesia ◽  
University Hospital ◽  
Control Regimen ◽  
Background Infusion ◽  
Continuous Background ◽  
American Society ◽  
Group B ◽  
Double Blinded ◽  
American Society Of Anesthesiologists

Purpose.The purpose of this study was to compare the analgesic properties of levobupivacaine with or without fentanyl for patient-controlled epidural analgesia after Cesarean section in a randomized, double-blinded study.Methods.We enrolled American Society of Anesthesiologists class I/II, full-term pregnant women at National Taiwan University Hospital who received patient-controlled epidural analgesia after Cesarean section between 2009 and 2010. Eighty women were randomly assigned into two groups. In group A, the 40 subjects received drug solutions made of 0.6 mg/ml levobupivacaine plus 2 mcg/ml fentanyl, and in group B the 40 subjects received 1 mg/ml levobupivacaine. Maintenance was self-administered boluses and a continuous background infusion.Results.There were no significant differences in the resting and dynamic pain scales and total volume of drug used between the two groups. Patient satisfaction was good in both groups.Conclusion.Our study showed that pure epidural levobupivacaine can provide comparative analgesic properties to the levobupivacaine-fentanyl combination after Cesarean section. Pure levobupivacaine may serve as an alternative pain control regimen to avoid opioid-related adverse events in parturients.

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