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10.1007/s00192-017-3375-7 http://scihub22266oqcxt.onion/10.1007/s00192-017-3375-7 C5847061!5847061 !28600757     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28600757 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Int+Urogynecol+J 2018 ; 29 (3 ): 345-351 Nephropedia Template TP {{tp|p=28600757 |t=2018. Obstetric fistula in Niger: 6-month postoperative follow-up of 384 patients from the Danja Fistula Center |pdf=|usr=}}{{28600757 }} gab.com Text Obstetric fistula in Niger: 6-month postoperative follow-up of 384 patients from the Danja Fistula Center JO: Int Urogynecol J http://www.kidney.de/pget.php?&tw=1&pmid=28600757 #FOAvip INTRODUCTION AND HYPOTHESIS: The impoverished West African country of Niger has high rates of obstetric fistula. We report a 6-month postoperative follow-up of 384 patients from the Danja Fistula Center and assess factors associated with operative success or failure. METHODS: The medical records of 384 women who had completed a 6-month follow-up after fistula surgery were reviewed. Cases were categorized as "easy," "of intermediate complexity," or "difficult" based on a preoperative points system. Data were analyzed using simple chi-squared statistics and logistic regression. RESULTS: The patients were predominantly of Hausa ethnicity (73%), married young (average 15.9 years), had teenage first pregnancies (average first delivery 16.9 years), and experienced prolonged labor (average 2.3 days) with poor outcomes (89% stillbirth rate). The average parity was four. Patients commonly developed their fistula during their first delivery (43.5%), but over half sustained a fistula during a subsequent delivery (56.5%). Prior fistula surgery elsewhere (average 1.75 operations) was common. The overall surgical success ("closed and dry") was 54%. When the 134 primary operations were analyzed separately, the overall success rate was 80%. Increasing success was seen with decreasing surgical difficulty: 92% success for "easy" cases, 68% for "intermediate" cases, and 57% success for "difficult" cases. Success decreased with increasing numbers of previous attempts at surgical repair. CONCLUSIONS: These data provide further evidence that clinical outcomes are better when primary fistula repair is performed by expert surgeons in specialist centers with the support of trained fistula nurses. Twit Text FOAVip Obstetric fistula in Niger: 6-month postoperative follow-up of 384 patients from the Danja Fistula Center ????Int Urogynecol J http://www.kidney.de/pget.php?&tw=1&pmid=28600757 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28600757 #FOAvip English Wikipedia <ref>{{Cite pmid|28600757 }}</ref> Obstetric fistula in Niger: 6-month postoperative follow-up of 384 patients from the Danja Fistula Center #MMPMID28600757 Ouedraogo I ; Payne C ; Nardos R ; Adelman AJ ; Wall LL Int Urogynecol J 2018[Mar]; 29 (3 ): 345-351 PMID28600757 show ga INTRODUCTION AND HYPOTHESIS: The impoverished West African country of Niger has high rates of obstetric fistula. We report a 6-month postoperative follow-up of 384 patients from the Danja Fistula Center and assess factors associated with operative success or failure. METHODS: The medical records of 384 women who had completed a 6-month follow-up after fistula surgery were reviewed. Cases were categorized as "easy," "of intermediate complexity," or "difficult" based on a preoperative points system. Data were analyzed using simple chi-squared statistics and logistic regression. RESULTS: The patients were predominantly of Hausa ethnicity (73%), married young (average 15.9 years), had teenage first pregnancies (average first delivery 16.9 years), and experienced prolonged labor (average 2.3 days) with poor outcomes (89% stillbirth rate). The average parity was four. Patients commonly developed their fistula during their first delivery (43.5%), but over half sustained a fistula during a subsequent delivery (56.5%). Prior fistula surgery elsewhere (average 1.75 operations) was common. The overall surgical success ("closed and dry") was 54%. When the 134 primary operations were analyzed separately, the overall success rate was 80%. Increasing success was seen with decreasing surgical difficulty: 92% success for "easy" cases, 68% for "intermediate" cases, and 57% success for "difficult" cases. Success decreased with increasing numbers of previous attempts at surgical repair. CONCLUSIONS: These data provide further evidence that clinical outcomes are better when primary fistula repair is performed by expert surgeons in specialist centers with the support of trained fistula nurses. |Adolescent [MESH] |Adult [MESH] |Delivery, Obstetric/adverse effects/*statistics & numerical data [MESH] |Female [MESH] |Follow-Up Studies [MESH] |Humans [MESH] |Maternal Health Services/standards [MESH] |Middle Aged [MESH] |Niger/epidemiology [MESH] |Obstetric Labor Complications/*epidemiology/etiology [MESH] |Parity [MESH] |Plastic Surgery Procedures/methods/statistics & numerical data [MESH] |Poverty [MESH] |Pregnancy [MESH] |Rectovaginal Fistula/*epidemiology/etiology/surgery [MESH] |Retrospective Studies [MESH] |Stillbirth/epidemiology [MESH] |Time Factors [MESH] |Treatment Failure [MESH] |Vesicovaginal Fistula/*epidemiology/etiology/surgery [MESH]Obstetric fistula in Niger: 6-month postoperative follow-up of 384 pat(epmc).pdf DeepDyve Pubget Overpricing