Publications by authors named "M A Afonina"

Background: Vesico-vaginal fistula (VVF) is a rare but debilitating condition, characterised by an abnormal connection between the bladder and vagina. While obstetric-related cases prevail in developing countries, iatrogenic fistulas are more common in industrialised ones, often resulting from pelvic surgeries.

Objectives: The optimal timing for surgical correction of VVF remains debated, often leaning towards delayed intervention.

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Article Synopsis
  • The HUGO™ robotic-assisted surgery system was introduced in 2021 and serves as an innovative option for robotic procedures, particularly in gynecology.
  • A study was conducted on its initial year of use at two hospitals, examining 32 gynecological surgeries performed using this system, including hysterectomies, adnexal surgeries, and pelvic floor reconstructions.
  • Results indicated the system's feasibility, with no intraoperative complications and an increase in procedure volume over time, suggesting the need for further research to standardize its use in gynecological surgery.
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Introduction: Despite various studies on the impact of incontinence on patients' lives, the existing literature has not investigated the contribution of nursing care during rehabilitation in terms of quality of life. Fewer data, therefore, exist on the characteristics and perceived impact of the therapeutic relationship as part of the rehabilitation program.

Aims: To investigate the characteristics of the nurse-patient therapeutic relationship and its impact throughout the rehabilitation program; to describe the levels of patient burden on everyday activities.

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