Raashid Yasmin, Tmajeed Tayyaba, Majeed Naeem, Shahzad Nadeem
Department of Obstetrics and Gynaecology, King Edward Medical University, Lahore.
J Coll Physicians Surg Pak. 2010 Jul;20(7):436-8.
To find the frequency of iatrogenic VVF in patients admitted for repair of VVF in Lady Willingdon Hospital, Lahore.
An observational study.
Lady Willingdon Hospital, Lahore, from January 2007 to December 2008.
All cases of VVF treated at the centre during the study period were included in the study. The patients were admitted and evaluated through detailed history, physical examination, relevant investigations and evaluation under general anaesthesia (EUA). Iatrogenic VVF was defined as the one following gynaecological procedure. Repair was done through abdominal or vaginal route based on the findings of EUA. RESULTS of repair were noted and analyzed using SPSS version 12.
Iatrogenic cases of VVF made more than half of the total cases (54%) while 46% were due to obstructed labour. Women under the age of 40 years, made up 77% of the total cases. The success rate for repair of VVF was 87%.
This study shows that iatrogenic injuries in women under 40 years of age form a major share in the etiology of VVF requiring a check on the experience of surgeons doing the gynaecological and obstetrical surgeries in a developing country.
在拉合尔威灵顿夫人医院收治的膀胱阴道瘘修补患者中，找出医源性膀胱阴道瘘的发生率。
一项观察性研究。
2007年1月至2008年12月，拉合尔威灵顿夫人医院。
研究纳入了研究期间在该中心接受治疗的所有膀胱阴道瘘病例。患者入院后通过详细病史、体格检查、相关检查以及全身麻醉下的评估（EUA）进行评估。医源性膀胱阴道瘘定义为妇科手术后发生的病例。根据EUA的结果，通过腹部或阴道途径进行修补。记录修补结果并使用SPSS 12版进行分析。
医源性膀胱阴道瘘病例占总病例的一半以上（54%），而46%是由于产程梗阻所致。40岁以下的女性占总病例的77%。膀胱阴道瘘修补的成功率为87%。
本研究表明，40岁以下女性的医源性损伤在膀胱阴道瘘病因中占很大比例，这就需要对发展中国家从事妇产科手术的外科医生的经验进行核查。
