Re: Delivery mode in a patient with a previous rectovaginal fistula

From: Bernard Cristalli (bcrist@club-internet.fr)
Sat Aug 30 15:42:43 1997


Philip Rosenow wrote: >
> >
>
> This is almost too much of a coincidence. I saw a patient last
> week who was delivered by another colleague in town. She developed a RV
> fistula several weeks later.

My partners and I decided that the best course was probably to > allow her to labor and have a repair attemtped removed from the
> postpartum period unless a vaginal laceration occurs.
>

--
I said "effective repair = cesarean.
I say active fistula = vaginal delivery (without episiotomy must I
say?). And post partum repair.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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