Local anesthesia: an appropriate technology for simple fistula repair.
OBJECTIVE
To assess the efficacy of local infiltrative anesthesia with lidocaine hydrochloride in patients undergoing the surgical repair of a simple vesico-vaginal fistula.


METHODS
The study was carried out with 21 patients undergoing the repair of a simple midvaginal vesico-vaginal fistula. The patients' perception of pain was evaluated intraoperatively.


RESULTS
Most patients indicated that the anesthetic agent provided adequate analgesia, and all fistulas were repaired successfully without postoperative complications.


CONCLUSIONS
Repairing simple vesico-vaginal fistulas is feasible with a local infiltrative anesthetic.
Ojengbede
O A
OA
Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, Ibadan, Nigeria. ladosu2002@yahoo.co.uk
Morhason-Bello
I O
IO
D000293:Adolescent; D000328:Adult; D000772:Anesthesia, Local; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use*; D008875:Middle Aged; D009549:Nigeria; D007744:Obstetric Labor Complications / Q000601:surgery*; D010146:Pain; D011247:Pregnancy; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures; D014719:Vesicovaginal Fistula / Q000601:surgery*
D008012:Lidocaine