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

被引：28
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.
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收藏
页码：361 / 363
页数：2
相关论文
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