An Outcome of the Management of the Vesico-Vaginal Fistula: Experience
Authors/Creators
- 1. Assistant Professor, Department of Obstetrics and Gynecology, MGMMC & LSK Hospital, Kishanganj
- 2. Assistant Professor, Department of General Surgery, MGMMC & LSK Hospital, Kishanganj
- 3. PGT, Department of General Surgery, MGMMC & LSK Hospital, Kishanganj
- 4. PGT 3rd year, Department of General Surgery, MGMMC & LSK Hospital, Kishanganj
Description
Background: Patients with vesico-vaginal fistula (VVF) must receive the appropriate treatment in order to recover normal urinary function and experience an improvement in their quality of life. The purpose of this study was to conduct a retrospective analysis of the outcomes of VVF management, with a focus on surgical repair techniques, prognostic factors, and postoperative care. Methods: In a retrospective cohort study, the medical records of 60 patients diagnosed with VVF and surgically treated at a tertiary care facility were reviewed. The demographic information of the patients, the fistula characteristics, surgical procedures, and the outcomes were all recorded. Using descriptive statistics, a summary of the patients’ and the VVF’s characteristics was compiled. Multivariate logistic regression was used to analyze the variables found to have an effect on the outcomes, and the success rates of various surgical procedures were compared using the appropriate statistical tests. In addition to this, a postoperative complications analysis was conducted. The SPSS application was used to conduct the statistical analysis. Results: Patients with vesico vaginal fistuala were chosen based on a variety of patient demographics and fistula characteristics. Multiple surgical procedures, including vaginal, abdominal, and minimally invasive procedures, were utilized in the operating room to complete the necessary repairs. Both the overall success rate of VVF closure and the efficacy of various surgical procedures were calculated and analyzed. The outcomes of surgery were examined in relation to a number of variables, including the extent of the fistula, its location, and the number of previous attempts to repair it. We also accounted for any complications that resulted from the operation. Conclusion: This retrospective cohort study was conducted, and both its findings and the factors that influence VVF care are examined. The findings contribute to our comprehension of the factors that affect the success of surgical procedures and the efficacy of various surgical approaches. The findings emphasize the importance of tailoring treatment strategies to the unique characteristics and repair history of each patient. In addition, it is acknowledged that standardized postoperative care procedures are essential for reducing complications and improving patient outcomes. Additional research is required to confirm these findings and investigate potential novel VVF management strategies.
Abstract (English)
Background: Patients with vesico-vaginal fistula (VVF) must receive the appropriate treatment in order to recover normal urinary function and experience an improvement in their quality of life. The purpose of this study was to conduct a retrospective analysis of the outcomes of VVF management, with a focus on surgical repair techniques, prognostic factors, and postoperative care. Methods: In a retrospective cohort study, the medical records of 60 patients diagnosed with VVF and surgically treated at a tertiary care facility were reviewed. The demographic information of the patients, the fistula characteristics, surgical procedures, and the outcomes were all recorded. Using descriptive statistics, a summary of the patients’ and the VVF’s characteristics was compiled. Multivariate logistic regression was used to analyze the variables found to have an effect on the outcomes, and the success rates of various surgical procedures were compared using the appropriate statistical tests. In addition to this, a postoperative complications analysis was conducted. The SPSS application was used to conduct the statistical analysis. Results: Patients with vesico vaginal fistuala were chosen based on a variety of patient demographics and fistula characteristics. Multiple surgical procedures, including vaginal, abdominal, and minimally invasive procedures, were utilized in the operating room to complete the necessary repairs. Both the overall success rate of VVF closure and the efficacy of various surgical procedures were calculated and analyzed. The outcomes of surgery were examined in relation to a number of variables, including the extent of the fistula, its location, and the number of previous attempts to repair it. We also accounted for any complications that resulted from the operation. Conclusion: This retrospective cohort study was conducted, and both its findings and the factors that influence VVF care are examined. The findings contribute to our comprehension of the factors that affect the success of surgical procedures and the efficacy of various surgical approaches. The findings emphasize the importance of tailoring treatment strategies to the unique characteristics and repair history of each patient. In addition, it is acknowledged that standardized postoperative care procedures are essential for reducing complications and improving patient outcomes. Additional research is required to confirm these findings and investigate potential novel VVF management strategies.
Files
IJPCR,Vol15,Issue5,Article202.pdf
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Additional details
Dates
- Accepted
-
2023-04-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue5,Article202.pdf
- Development Status
- Active
References
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