The immediate management of fresh obstetric fistulas.

  title={The immediate management of fresh obstetric fistulas.},
  author={Kees Waaldijk},
  journal={American journal of obstetrics and gynecology},
  volume={191 3},
  • Kees Waaldijk
  • Published 2004 in American journal of obstetrics and gynecology
OBJECTIVE It has been a general rule to wait with the repair of an obstetric fistula for a minimum period of 3 months allowing the patient to become an outcast. In a prospective way an immediate management was studied and antibiotics were not used, all according to basic surgical principles. METHODS A total of 1716 patients with a fistula duration of 3 to 75 days after delivery were treated immediately on presentation by catheter and/or early closure. Instead of antibiotics, a high oral fluid… CONTINUE READING

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