Publications by authors named "C Chalamanda"
Background: Obstructed labor leading to a vesicovaginal fistula remains a devastating outcome of childbirth in low-resource countries. Women with an irreparable vesicovaginal fistula may be candidates for a urinary diversion, such as the Mainz II modified ureterosigmoidostomy procedure. Previous reviews state that the procedure should be considered in low-resource countries.
View Article and Find Full Text PDFObjective: To examine the ability of a previously published risk score to predict incontinence at discharge in women with vesicovaginal fistulas (VVF) and to examine how the score correlates with an independent assessment of surgical skill.
Methods: This is a retrospective cohort study including cases from January to June 2018. We evaluated operative records for factors associated with incontinence at hospital discharge, as well as relationships between a risk score cut-point of 20 or more and surgical skill level.
Article Synopsis
- The study aimed to analyze renal anatomy and function in women with obstetric fistulas and assess the impact of renal tests on surgery decisions.
- Conducted at a Fistula Care Centre in Malawi, the research involved baseline creatinine testing and renal ultrasounds for 85 obstetric fistula patients.
- Results indicated that most patients had normal renal function, and preoperative renal ultrasounds were deemed highly useful by surgeons, especially for those at risk of ureterovaginal fistulas.*
Objective: To identify criteria to guide surgeons regarding indications for use of the Singapore and gracilis muscle flaps in obstetric fistula repair.
Methods: This is a retrospective case series. Obstetric fistula surgeons in Lilongwe, Malawi, have been incorporating plastic surgery techniques with the Singapore and gracilis muscle flaps since collaborating with plastic surgeons in 2016.