Fistula

James Marion Sims was an important milestone in history for he was the doctor to revolutionize women's reproductive health. Most doctors in his time would refuse to even examine women because it was highly against the standards. However, he practiced on slaves in order to find cures to some of the worst infections. He changed the face of women's healthcare and opened up a whole new world of learning through gynecology. Sims was so successful that he was the first medical professional to get a statue in his honor. Many know him for what he did, but most do not know how he accomplished what he did as well as the ethical questions brought up from it. J. Marion Sims was a man who cured vesicovaginal fistula and is, by many, considered the father…

and Webb “Conversion of an Enerocutaneous Fistula Associated With an Open Abdominal Wound Into a Drain-controlled Enerocutaneous Fistula” explains the complications that can possibly arise with a fistula in an open abdominal wound where the intestines are visible. It also explains how the medical team was able to treat this unique and complex situation. Open abdominal wounds present the physicians and surgeons with many problems. These challenges include the patient’s comfort, healing time, and…

Background: Fistula-in-ano forms a good majority of treatable benign lesions of the rectum and anal canal. 90% or so of these cases are end results of crypto glandular infections. Despite the easy of diagnosis, establishing a cure is problematic on two accounts. Firstly, many patients tend to let their ailment nag them rather than being subject to examination, mostly owing to the site of this disease. The more important second factor is that a significant percent of these diseases persist or…

Even though complications of fistula access are far less than a graft or a catheter, they do occur and need to be addressed. Complications occur in approximately one-third of fistulas and include: aneurysms, infection, stenosis, thrombosis, steal syndrome and heart failure. These complications have historically been classified as early and late failure. The etiology of both early and late are somewhat similar because if the cause is not diagnosed early on it may progress and lead to late access…

Introduction: A fistula is defined as a pathologic tract connecting two hollow organs, or one hollow organ and the skin. Fistula in Ano is a benign condition but may causing considerable distress to the patient and difficulty for surgeons. Fistula in Ano effects approximately ten individuals in 100,000, with male predominance, higher abundance of anal glands is thought to be the partial reason. The infected gland leads to fistula formation after some time, which starts as an abscess. There…

that the main cause of fistulas are the fact that there is a lack of fistula services. The statistics that then go to back this statement up are numbing. It was said that out of the 77 million people living in Ethiopia, there are only 146 gynecologists and obstetricians and most of them are in the cities. This is where the matrix of domination meets gender segregation in that women who are poor and rural don’t receive proper services but often times women in the cities will not be able to…

Problematic issues of AV Fistulas (tab)AV fistulas are the first choice of access for dialysis patients, they come with their share of problems. Fistulas require surgery to join the patient’s own artery and vein. Having less severe problems over other types of accesses, listed below are several issues often faced by patients with AV fistulas. • Fistula surgery takes four to six weeks to mature and in rare instances can take up to a year. • “Steal Syndrome” usually the fault of a bad surgical…

Postoperative note as follows. Ms. [Name] presented [Date] for evaluation of a left posterior bladder wall lesion consistent with either a tumor versus fistula tract. She had previously undergone CT IVP which demonstrated a diverticulosis of the sigmoid colon with air within the bladder. There was also apparent communication between the sigmoid colon and the bladder, although the CAT scan was non-contrast. This was suspicious for evidence of a colovesicular fistula. Previously the patient has…

A patient arrives post operatively to the PICU. Upon the nurse's assessment, the patient's mother notices a peripheral IV at the patient's AV fistula site. The nurse assesses the site and there is an 18G PIV present. The nurse notifies the physician, the PIV is removed, and it is noted that the thrill and bruit is still present. The nurse immediately submits an incident report. By the next shift, a nurse assesses the AV fistula site and there is no thrill or bruit present. The patient was due to…

“A Walk to Beautiful: Women with Obstetrical Fistulas in Ethiopia” Movie Review “A walk to beautiful” is a heartrending and all to common story of the struggle many women, in middle to low-income countries, are facing when faced with obstetrical fistulas. The story begins with a woman who, because of her obstetrical fistulas has been casted away from her family and community. The woman is then faced with thoughts of despair and loneness in her attempt to raise her daughter, and often…