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Title: FORCEFUL VAGINAL DELIVERY RESULTING IN RECTOVAGINAL VAGINAL FISTULA
e-poster Number: EP 325
Category: Miscellaneous
Author Name: Dr. Nazia Tarannum
Institute: Katihar Medical College
Co-Author Name:
Abstract :
Introduction: A Rectovaginal Fistula defined as the abnormal communication with epithelial lined tract between vagina and rectum with passage of flatus and stools into the vagina. Rectovaginal fistula has a devastating effect on the patient's of quality of life due embarrassing and irritating symptoms. Case :- A 23 years Primipara female came to casualty with chief complain of vulval hematoma and passage of faecal vaginal discharge on 5th day of Normal vaginal delivery, delivered by untrained Midwives Aim And Objective: To present a case of Rectovaguial fistula complication of obstructed labor. Material And Method:- Study design: - Hospital Based case study. Study place:- Department of obstetrics and Gynaecology ,Katihar Medical College , Katihar. Result :- A vulval hematoma of approx 10 cm size was scooped out of 300-350 ml volume. Two apex was found of extending from base of cervix above and below anal opening. It repaired in layers by everted suture. Hemostasis achived. One unit of blood transfusion given intraoperatively. Conclusion:-The treatment of Rectovaginal fistula can be challenging. Concise diagnosis and meticulous workup of the patient enable systemic indivisualized approach for sucessful repair.