Curriculum of Gynecology
TOPIC 75
OLD COMPLETE PERINEAL TEAR AND RECTOVAGINAL FISTULAS
RATIONALE
Rectovaginal fistulas and perineal tears have both psychological and medical implications. A measurable reduction in their incidence can be achieved by proper management of labor.
GOALS
l Understand the magnitude and causes of the problems of complete perineal tear and rectovaginal fistulas
l Emphasize the importance of preventable and avoidable measures
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l List symptoms and signs of old perineal tear and rectovaginal fistulas
l List causes of rectovaginal fistulas
l Mention preoperative preparation
l Describe different surgical techniques for repair
l Mention measures of postoperative care
CONTENT
l Definition, causes, symptoms, and signs of rectovaginal fistulas
l Description of different surgical techniques and measure of postoperative care
