000			02722nam a22003497a 4500
003			OSt
005			20240305193744.0
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022			_2East African Scholars Journal of Medicine and Surgery _a 2663-1857 (Print)
022			_2East African Scholars Journal of Medicine and Surgery _a2663-7332 (Online)
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_bWebsite: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aStephen Swetala _922695
222			_aRetained needle, Episiotomy, Perineal tear, Birth Delivery, Fluoroscopy.
245			_aRetained Needle during Post Delivery Repairs of Episiotomy and Perineal tears: A Case Series
260			_aMwanza, Tanzania: _bEast African Scholars Journal of Medicine and Surgery & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c2021
300			_aPages 248-251
490			_a Stephen Swetala et al (2021). Retained Needle during Post Delivery Repairs of Episiotomy and Perineal tears: A Case Series. East African Scholars J Med Surg, 3(12), 248-251.
520			_aAbstract: Introduction: Retained surgical suture needle during repairs of episiotomies or vagina tears is rare. Blind exploration can be demanding and is associated with massive dissection and hemorrhage. The aim is to present three cases encountered at Bugando Medical Centre, Mwanza Tanzania and their management. Case Presentation: Three peri-partum cases encountered with retained needles within the same week; one post-episiotomy and two post-perineal tears repair. The first two cases underwent blind exploration of the retained needle without success. Panel discussions by the attending Obstetricians and Trauma Surgeons came up with consensus of exploring the retained needle under x-ray fluoroscopic imaging. All the three cases underwent x-ray fluoroscopic imaging exploration with successful retained needles retrieved without significant dissection or hemorrhage. Conclusion: Image guidance using x-ray fluoroscopic imaging is time saving with a higher success rate and minimal complications than blind exploration. Early disclosure of a retained needle during the repair of an episiotomy or a perineal tear is very important in order to avoid retrieval complications and medico-legal implications.
700			_a Geofrey Giiti _922597
700			_a Patrick S Ngoya _922737
700			_a Colman Mayomba _946583
700			_a Happiness Mbena _930511
700			_aAlbert Kihunrwa _922809
700			_a Yahya Magaso _946584
700			_a Mathias Njau _946585
942			_2ddc _cVM
999			_c19900 _d19900