Rectovaginal fistula after STARR procedure complicated by haematoma of the posterior vaginal wall: Report of a case

被引：30

作者：

Bassi R. ^{[1
]}

Rademacher J. ^{[1
]}

Savoia A. ^{[1
]}

机构：

[1] Coloproctology Unit, Division of General Surgery, Ospedale Maggiore, Crema (CR)

来源：

Techniques in Coloproctology | 2006年 / 10卷 / 4期

关键词：

Outlet obstruction; Rectovaginal fistula; Stapled transanal rectal resection; STARR procedure; Surgical repair;

D O I：

10.1007/s10151-006-0310-1

中图分类号：

学科分类号：

摘要：

We report the case of a patient treated with the stapled transanal rectal resection (STARR) procedure for obstructed defecation, who developed an early postoperative haematoma of the posterior vaginal wall and, after 30 days, a rectovaginal fistula (RVF), even though the intervention had been performed according to the standardized technique. After clinical examination and three-dimensional anal endosonography, we carried out a successful surgical correction with double vaginal and rectal flaps with repair of the rectovaginal septum and without faecal diversion. The STARR procedure, even if performed according to a rigorous application of the methodological standards, may be followed by a RVF possibly due to a blood collection leading to ischaemia of the vaginal wall.

引用

页码：361 / 363

页数：2

共 10 条

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