surgery

?
definition of fistula & etiology
abnormal connection between organ or other structures (external surface). causes: congential, pathological (trauma, post surgery complication,foreign bodies, tumor etc.
1 of 6
classification
based on whether internal (between 2 hollow organs ) & external fistulas (between organ system and external environment). 2. structure : whether its granulated or epithelial covering on walls of fistula.
2 of 6
diagnosis:
presence of secretion and characteristics (indicates type of organ involved). use radiography to observe foreign bodies , determine direction, length, passage and entrance point, observe lack of healing of secretion orifice.
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types?
aortic -enteric (dangerous : bloody stool & lots of blood loss). recto urethral fistula: urine into rectum and vice versa. external: ligature fistula (due to non adsorable suture- granulated covering) , subcutaneou-mucosal fistula (due to abd surgery
4 of 6
types of fistulas external?
csf, bronchial, abdomina fistulas (involve intestine -ileostomy utilized), fisutlas concerned with pancreatic/biliary trees and genitourinary system.
5 of 6
treatment?
multidisciplinary team approach, sudden complications for known fistulas - emergency surgery.if recurring- thorough evaluation to minimise risk. external fistula: eliminate communication & surgical excision. iinternal: early detection + management,
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Other cards in this set

Card 2

Front

classification

Back

based on whether internal (between 2 hollow organs ) & external fistulas (between organ system and external environment). 2. structure : whether its granulated or epithelial covering on walls of fistula.

Card 3

Front

diagnosis:

Back

Preview of the front of card 3

Card 4

Front

types?

Back

Preview of the front of card 4

Card 5

Front

types of fistulas external?

Back

Preview of the front of card 5
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