Stephen A Stearns, Allan A Weidman, Toni F Engmann, Lauren Valentine, Angelica Hernandez Alvarez, Jose Foppiani, Samuel J Lin, Sammy Dowlatshahi
Hand and Wrist Amputation: A Demographic Analysis Using the National Inpatient Sample
Hand (New York, N.Y.)
obstetric fistula serious debilitating problem resulting tissue necrosis reproductive urinary andor lower gastrointestinal tract organs due prolonged labor primary studies treatment obstetric fistulae report significantly variable treatment outcomes following surgical repair however systematic review metaanalysis yet estimated pooled proportion identified determinants successful obstetric fistula surgical repair estimate proportion identify determinants successful surgical repair obstetric fistulae low middleincome countries protocol developed registered international prospective register systematic reviews id crd42022323630 searches pubmed embase cinahl scopus databases gray literature sources performed accessed studies selected covidence quality studies examined finally data extracted using excel analyzed r software review included 79 studies 9337 following screening process analysis reveals 7785 95ci 7514 8056 surgical repairs low middleincome countries successful women attain primary education married alive neonatal outcomes likely successful repair outcomes contrast women female genital mutilation primiparity large fistula size fistula classification ii urethral damage vaginal scarring circumferential defect multiple fistulae prior repair postoperative complications less likely successful repair outcomes proportion successful surgical repairs obstetric fistula low middleincome countries remains suboptimal hence stakeholders policymakers must design implement policies promoting womens education addition fistula care providers need reach manage obstetric fistula cases early complications like vaginal fibrosis occur