8 cases of secondary repair of obstetric fistula Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 9 8 cases of secondary repair of obstetric fistula Perioperative Nursing [Abstract] Objective To investigate patients with obstetric fistula in perioperative nursing. Methods 8 cases of bladder vaginal fistula perioperative nursing process. Results After adequate preoperative preparation and active care before and after surgery, surgery to be successful. Conclusions strengthen psychological care, vaginal preparations, before and after bowel preparation and intraoperative care active is key to successful operation. [Keywords:] vesico-vaginal fistula, perioperative, nursing intervention VVF often due to childbirth, trauma, gynecologic surgery, infection, tumors caused by [1]. Because of urine out of the vagina stop, seriously affecting the health of patients. The disease is also higher than for the urology and obstetrics and gynecology intractable diseases, easy to relapse, and the difficulty in surgery, the surgery before, during and after-care requirements are higher. our department in November 2006 has treated a total of eight bladder vaginal fistula, the line “vesico-vaginal fistula repair “, after results were satisfactory, so the patients were discharged. now Perioperative Nursing reported as follows. 1 Clinical data 8 patients were female, aged 42 to 69 years, mean 54 years. Which 6 patients because of uterine fibroids line “hysterectomy”, postoperative leakage of urine, and the other 2 cases of bladder cancer lines “+ cystectomy orthotopic ileal bladder ileal bladder fistulization + + hysterectomy “, after vaginal leakage of urine, at a local hospital surgical repair is not successful, then transferred to our department. admission, see the urine from patients with vaginal examination kept out of mouth, genital eczema are of different sizes, the largest of which fistula 3.9 cm 4.1 cm, the smallest 2.0 cm 2.5 cm. improve the relevant inspection and adequate preoperative preparation underwent “repair vesico-vaginal fistu