{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T20:18:50Z","timestamp":1696018730357},"reference-count":10,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2007,9,17]],"date-time":"2007-09-17T00:00:00Z","timestamp":1189987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label \/><jats:p>Obstetric fistulas occur in developing countries because of the scarcity or complete absence of obstetric services. The magnitude of the problem is unknown but thought to be sizeable. This article describes a basic approach to the care of women with fistulas in a low\u2010resource rural hospital in northern Ghana, where the results were similar to those obtained at better\u2010equipped centers. The facility includes an outpatient clinic for history taking and clinical examinations, and a laboratory for hemoglobin concentration assessment, sickling test, blood grouping, and cross\u2010matching when necessary. Anesthesia consists of a spinal anesthesia given by the surgeon and monitored by a nurse while the surgeon scrubs up before repairing the fistula. Surgery is performed with the patient in exaggerated lithotomy position, and a bed sheet used as a sling prevents her from falling backwards. The patients are kept at the hospital for 14\u00a0days postoperatively for continuous bladder drainage.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2007.06.025","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T14:34:59Z","timestamp":1190126099000},"source":"Crossref","is-referenced-by-count":7,"title":["Simple fistulas: Diagnosis and management in low\u2010resource settings\u2014A descriptive report"],"prefix":"10.1002","volume":"99","author":[{"given":"A.T.","family":"Lassey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,9,17]]},"reference":[{"key":"e_1_2_6_2_2","series-title":"Proceedings of the 2nd International Consultation on Incontinence, jointly sponsored by the International Continence Society and the World Health Organization; Paris, France, July 1\u20133, 2001","first-page":"893","volume-title":"Incontinence","author":"Wall L.","year":"2002"},{"key":"e_1_2_6_3_2","volume-title":"Step by step surgery of vesicovaginal fistulas","author":"Waaldijk K.","year":"1994"},{"key":"e_1_2_6_4_2","volume-title":"The vesico\u2010vaginal fistula","author":"Moir C.J.","year":"1967"},{"key":"e_1_2_6_5_2","first-page":"98","article-title":"Epidemiology of vesico\u2010vaginal fistulae in northern Nigeria","volume":"9","author":"Ampofo K.","year":"1990","journal-title":"West Afr J Med"},{"key":"e_1_2_6_6_2","first-page":"39","article-title":"Urinary vaginal fistulae: a series of 152 patients treated at a small hospital in Ghana","author":"Ashworth F.L.","year":"1973","journal-title":"West Afr J Med"},{"issue":"3","key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/S0020-7292(03)00222-4","article-title":"Vesicovaginal fistulas in developing countries","volume":"82","author":"Hilton P.","year":"2003","journal-title":"Int J Gynecol Obstet"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1991.tb15285.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01901602"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-7091-8921-4"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)90759-5"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2007.06.025","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2007.06.025","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S002072920700375X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S002072920700375X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2007.06.025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T10:12:00Z","timestamp":1695550320000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2007.06.025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,9,17]]},"references-count":10,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2007,11]]}},"alternative-id":["10.1016\/j.ijgo.2007.06.025"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2007.06.025","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,9,17]]}}}