[Fistulas in gynecologic and obstetric surgical procedures]

Klinika za ginekologiju i akuserstvo, Klinicki centar, Novi Sad.

INTRODUCTION: The study pointed to the significance and most frequent causes of development of fistula following gynecologic and obstetric surgical procedures. PREVENTION AND MANAGEMENT OF FISTULAS: Some possibilities of prevention, i.e. the necessity of correct administration of surgical procedures have been described. The authors pointed to the imperative of knowing the structure of vesicovaginal region and administration of adequate surgical technique. They described surgical procedures in most frequent gynecologic operations in prevention of ureteral injuries. They have presented 25-year result of operative treatment of these patients and treatment of postoperative fistulas at the Department of Obstetrics and Gynecology in Novi Sad. In regard to the number of gynecologic operations in that period (23067), the incidence of fistulas was not high (43). CONCLUSION: During the last years, the incidence is constantly decreasing, due to application of appropriate surgical techniques, careful manipulation, and administration of up-to-date surgical materials.

PMID: 15503796 [PubMed - indexed for MEDLINE]