A case of recto-vaginal obstetrical fistula treated by the Martius lamp, seen at Befelatanana Madagascar

The rectovaginal fistulas are a pathological epithelialized communication between the vagina and the rectum, its frequency is 10 to 30%, and it is a disabling pathology because of the social repercussion. Many flap techniques have been described but the aim is to present a simple procedure according to a particular technique called Martius. This is a case of woman presenting a low rectovaginal fistula on obstetrical trauma. The surgical technique consists of a repair according to the technique of Martius. The operative follow-up was simple and the patient was able to resume sexual activity and normal anal sphincter function. It is a simple technique, easy to achieve for the technical platform in Madagascar whose evaluation of the results for a larger population should be considered. This technique therefore deserves to be known and widely used.

Surgical success of patients presenting for repair of VVF - Data from fistula repair centre, Ayub Teaching Hospital, Abbottabad, Pakistan (2016-18)

Obstetrical fistula is a devastating condition which socially impairs the life of patients in reproductive years. These females are usually socially isolated. Mostly patients don't have awareness regarding management of their problem due to poverty and ignorance. Fistula centre was estabished in Gynae department of Ayub Teaching Hospital, Abbottabad three years ago in collaboration with Pakistan National Forum on Women's Health ( PNFWH). In this presentation details of patients treated in fistula centre will be discussed.