Cases reported "Vaginal Fistula"

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1/4. Cervico-vaginal fistula from induced abortions causing subsequent spontaneous midtrimester abortions in Nigerians: case report.

    A report of three cases of cervico-vaginal fistula (CVF) from induced abortions causing subsequent spontaneous mid-trimester abortions and a literature review is presented. Restrictive abortion laws, low contraceptive usage and increased sexual activity consequent upon adverse socio-economic conditions have led to an increase in the prevalence of illegal abortions in nigeria over the previous two decades. CVF appears to be an emerging complication of such abortions. Cervical cerclage is preferred to trachelorrhaphy in the management of such cases. However, where vaginally performed cerclage does not succeed, the abdominal route should be used as a last resort. After a previous induced abortion, clinicians managing the subsequent pregnancy need to search carefully for cervico-vaginal fistula, which may compromise that particular pregnancy. Appropriate contraceptive use and safe abortions using modern methods in cases of contraceptive failure will prevent such horrendous complications of induced abortions in nigeria and other developing countries.
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ranking = 1
keywords = abortion
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2/4. Cervico-vaginal fistula and spontaneous mid-trimester abortion.

    An unusual complication of spontaneous second trimester abortion which was unaided by external agents is presented. We found no similar case in the literature.
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ranking = 0.3125
keywords = abortion
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3/4. Cervicovaginal fistula. A case report.

    Cervical rupture and subsequent development of a cervicovaginal fistula is a relatively uncommon but well-documented complication of midtrimester abortion. patients with cervicovaginal fistula may be at increased risk of subsequent infertility and obstetric complications.
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ranking = 0.0625
keywords = abortion
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4/4. Cervicovaginal fistulas: management of subsequent pregnancy.

    Cervicovaginal fistulas that develop after midtrimester abortion represent a significant risk to subsequent pregnancies. Since patients with this condition appear to be at increased risk for preterm labor and cervical incompetence, I recommend a cerclage procedure. The probability of complications during labor in such cases makes elective cesarean delivery the method of choice.
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ranking = 0.0625
keywords = abortion
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