East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
Vol. 11, No. 1, 2006, pp. 28-31
Bioline Code: js06007
Full paper language: English
Document type: Research Article
Document available free of charge
East and Central African Journal of Surgery, Vol. 11, No. 1, 2006, pp. 28-31
© Copyright 2006 - East and Central African Journal of Surgery
Surgical Audit of Vesico-Vaginal Fistulae Repairs by on the Job Trained Medical Officers in a Rural Hospital, Kagando, Western Uganda.|
I.G. Munabi , T. Makumbi, R. Sebwufu, F. Mirembe
For each maternal death in Africa there are fifteen mothers who suffer from some form of birth related injury, where the most devastating form is the vesicovaginal fistulae (VVF). Teachings in most training centres recommend that repair of these fistulae should be done by consultants. This study aimed at evaluating the outcome of VVF repairs done by on the job trained rural based medical officers in a rural setting.
This was a retrospective cohort study using data obtained from a review of patient hospital records for the period 2000-2005. Details of patient management including the patient's state of continence on discharge were noted. A successful operation was defined as the patient going home continent.
The majority of the repairs done by medical officers were successful (52/70, 74%). Medical officers had more success with the repair of small defects (RR 1.69 CI 1.11-2.58). The repairs done by medical officers in the presence of consultants were more likely to succeed (RR 3.19 CI 1.905.53).
Medical officers in rural African hospital settings can be trained to successfully repair small vesicovaginal fistulae.