AIM To assess the survival of the primary arteriovenous fistula created for dialysis in 463 chronic hemodialysis patients, because the main causes of morbidity among such patients are associated with vascular access-related complications. METHOD We analyzed 269 (58%) men and 194 (42%) women with median age of 58 years (range 12-83), who underwent 0-14,784 (median 1,584) hours of hemodialysis....

BACKGROUND Obstetric fistula is a childbirth injury caused by prolonged obstructed labor that results in destruction of the tissue wall between the vagina and bladder. Although obstetric fistula is directly caused by prolonged obstructed labor, many other factors indirectly increase fistula risk. Some research suggests that many women in rural Malawi have limited autonomy and decision-making po...

BACKGROUND Obstetric fistula classic symptoms of faecal and urinary incontinence cause women to live with social stigma, isolation, psychological trauma and lose their source of livelihoods. There is a paucity of studies on the health seeking behaviour trajectories of women with fistula illness although women live with the illness for decades before surgery. We set out to establish the complete...

BACKGROUND Wide cleft palate is a common congenital anomaly, particularly in developing countries with limited access to plastic surgeons and specialized centers. It can be severe may contribute the development of oronasal fistula, which occur up 78% cases. Despite numerous surgical techniques for wide repair, best method remains unclear. This study aimed identify repair minimize occurrence fis...

BACKGROUND Maternal outcomes in most countries of the developed world are good. However, in many developing/resource-poor countries, maternal outcomes are bleaker: Every year, more than 500,000 women die in childbirth, mostly in resource-poor countries. Those who survive often suffer from severe and long-term morbidities. One of the most devastating injuries is obstetric fistula, occurring most...

BACKGROUND A vaginal fistula is a devastating condition, affecting an estimated 2 million girls and women across Africa and Asia. There are numerous challenges associated with providing fistula repair services in developing countries, including limited availability of operating rooms, equipment, surgeons with specialized skills, and funding from local or international donors to support surgerie...

hydatid cyst is an infectious parasitic disease often caused by echinococcus granulosus, or to a lesser extent by echinococcus alveolaris. the liver is the organ most frequently involved. we report a case with hydatid cyst of the liver and lung that many years after surgery developed bronchobiliary fistula and biloptysis. the patient had been operated 2 times previously but yet the problem was ...

tuberculosis (tb) global prevalence remains almost unchanged over the past few decades. though genitourinary tract tuberculosis is common, it is rarely associated with scrotal fistula. we present  a rare case of advanced tuberculous epididymo-orchitis (tbeo) which culminated in removing the testis. before final diagnosis is made, it was unresponsive to empirical therapy of bacterial epididymo-o...

a seven-year-old stallion with diversion of urinary pass to the thigh due to a urethral fistula caused by gunshot perineal injury was presented to the urmia university, veterinary teaching hospital. no signs of urinary obstruction or renal failure were observed. because of inaccessible location of the injured urethra, through a perineal urethrotomy incision, a urinary catheter was effectively a...

IMPORTANCE No consensus exists as to the best technique, or techniques, to optimize wound healing, decrease pharyngocutaneous fistula formation, and shorten both hospital length of stay and time to initiation of oral intake after salvage laryngectomy. We sought to combine the recent experience of multiple high-volume institutions, with different reconstructive preferences, in the management of ...