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

From: Dr Eberhard W Lisse (el@linux.lisse.na)
Sat Aug 30 16:29:26 1997


Philip,

[...] > She presented to me, now pregnant! I did a MEDLINE search and there is
> nothing in the literature about delivery in a patient with an ACTIVE RV
> fistula. 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.

Vaginal Bypass.

Why worsen the fistula/tear?

el

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