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PAC Quarterly Supervisory Visit Checklist the Fistula Care Project Fistulacare  Form

PAC Quarterly Supervisory Visit Checklist the Fistula Care Project Fistulacare Form

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foreign [Music] [Music] will make you able to decide when to operate and when to refer a patient to someone more experienced so that each woman requires only one repair surgery should take place at least three months after injury and the patient should be healthy not pregnant with normal hemoglobin levels and HIV negative or with low viral load for optimal access to the fistula put the patient in the dorsal lithotomy and trendelenberg position use adequate light and a seat belt or shoulder braces to prevent her from sliding inject dilute adrenaline around the fistula and while it works take measurements of the bladder depth urethra vagina and fistula sharply circumscribe the fistula with an 11 blade scoring the vaginal epithelium and create lateral flaps on each side make sure to look for the ureters before excising the fistula using the scalpel or scissors close with tension-free 2-0 vikril uninterrupted sutures and perform a Dye test to check for leakage if there is any dye leakage l

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