Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
21 Cards in this Set
- Front
- Back
|
Congenital fistula include? |
1. Ectopic vesicae 2. Ectopic ureter opening in vagina |
|
|
I'm developing countries, most VVFs are the result of? |
Child birth |
|
|
Most....... is the most involved part |
The anterior vagina wall and the urinary bladder because is the most affected But ischemia may be higher up |
|
|
Devitalized part sloughs of in....... days |
In 3 or 5 - 10 days |
|
|
In the United States, over 70% of VVFs are a? |
Post operative complication of a surgery Developing after abdominal or vaginal hysterectomy performed for a benign condition |
|
|
VVFs occurs less often following radical hysterectomy conducted for malignant conditions because? |
Say in wertheim operation, urinary bladder is extensively dissected and as a precautionary measure Foley's catheter is put in for a 15 days or more days ( hence healing) |
|
|
About uterovesical fisula 1. Also called? 2. Incidence? 3. Most cause / aetiology ? 4. May lead to? 5. Most important symptom |
1. Youssef syndrome 2. Rare 3. Iatrogenic, usually after a c/s 4. Bladder endometrosis , which is difficult to treat 5. No dribbling of urine ( incontinence), periodic heamaturia ( during menstrual period) |
|
|
Which cancer is the most frequent cause of vvf |
Cervical cancer. |
|
|
Simple Vs difficult and complex fistula? Define each |
1. Simple - if it is easily accessible with healthy tissue surrounding it 2. Difficult and complex - in which associated lesions require additional urologic genital or gastrointestinal operations In them, there is loss of tissue or scarring, there is also difficulty accessing and had several unsuccessful attempts for repair |
|
|
Fistula caused by radiation take how long to manifest and why? |
May manifest after years, it is a very slow avascularization |
|
|
Infections that can cause fistula List 2 |
1. Lymphogranuloma venerum 2. Tuberculosis |
|
|
Fisulas may be multiple True or false |
True |
|
|
Which speculum is mostly use sand which position Which is not used? |
1. Sims speculum is mostly used, preferably in Lateral position as anterior vaginal wall cannot be visualized in the dorsal position 2. Bivalve speculum gives the least information |
|
|
Why is digital examination of the vagina done |
To access the amount of scarring and stenosis |
|
|
Why dye is used for dye test |
Methylene blue |
|
|
Which method of vagina repair is most suitable for residual fistula which remain after a partially successful repair |
Sauceruzation |
|
|
Which method of vagina repair is most suitable for posthysterectomy fistula at the vault |
High colpocleisis or latzko's operation |
|
|
Which method of vagina repair is most suitable for radiation fistula |
Complete colpocleisis |
|
|
Lost examples of tissue grafts used and ehyvare they used |
They are interposition for increasing blood supply 1. Martuis graft 2. Myocutaneous graft 3. Gracilis graft 4. Omental graft 5. Peritoneal graft
|
|
|
Indications for abdominal route |
1. Fistula with diameter > 2cm 2. Fistula near the ureteric orifice ( trigone) 3. Multiple fistula 4. Reoccurence of a Fisulas 5. Poor quality of local tissue ( following irradiation, chronic infection Robin DM |
|
|
What type of c/s is advised after operation if the women delivers |
Lower segment Caesarean section |
