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A complete fistula treatment center includes investigative services like laboratory work, radiology, and a blood bank, to ensure that the medical history of patients is clearly understood before treatment options are evaluated. [33] The surgical services would include operating theaters, postoperative wards, and anesthetic services.
The most immediate and effective treatment in the majority of cases is a surgical repair to close the fistula/s and reconnect the two ends of the esophagus to each other. Although this is usually done through an incision between the ribs on right side of the baby, a technique using three small incisions (thoracoscopy) is being used at some centers.
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.
The Fetal Treatment Center at the University of California, San Francisco is a multidisciplinary care center dedicated to the diagnosis, treatment, and long-term follow-up of fetal birth defects. It combines the talents of specialists in pediatric surgery , genetics, obstetrics / perinatology , radiology , nursing , and neonatal medicine.
Polyhydramnios is a medical condition describing an excess of amniotic fluid in the amniotic sac.It is seen in about 1% of pregnancies. [1] [2] [3] It is typically diagnosed when the amniotic fluid index (AFI) is greater than 24 cm. [4] [5] There are two clinical varieties of polyhydramnios: chronic polyhydramnios where excess amniotic fluid accumulates gradually, and acute polyhydramnios ...
The diagnosis of a vesicouterine fistula is made by demonstrating an abnormal connection between the cavities of the bladder and uterus. [2] It can be diagnosed using hysterosalpingography , hysterography, cystography, magnetic resonance imaging (MRI) and computerised tomography . [ 1 ]
The treatment of obstructed labour may require cesarean section or vacuum extraction with possible surgical opening of the symphysis pubis. [4] Caesarean section is an invasive method but is often the only method that will save the lives of both the mother and the infant. [18] Symphysiotomy is the surgical opening of the symphysis pubis.
The only treatment is to deliver the foetus. Women may still develop pre-eclampsia following delivery. [64] Placental abruption is where the placenta detaches from the uterus and the woman and foetus can bleed to death if not managed appropriately. [65] Foetal distress where the foetus is getting compromised in the uterine environment. [66]