Rectovaginal Fistula: A New Approach By Stapled Transanal Rectal Resection

被引:0
作者
Giovanni Li Destri
Beniamino Scilletta
Tiziana Grazia Tomaselli
Giuseppe Zarbo
机构
[1] University of Catania,Department of Surgical Sciences, Organ Transplantation, Advanced Technologies
[2] University of Catania,Department of Obstetric and Gynecology, Radiology, and Anesthesiology
来源
Journal of Gastrointestinal Surgery | 2008年 / 12卷
关键词
Rectovaginal fistula; Obstetric trauma; STARR;
D O I
暂无
中图分类号
学科分类号
摘要
Many surgical procedures have been developed to repair rectovaginal fistulas even if no “procedure of choice” is reported. The authors report a case of relatively uncommon, complex, medium-high post-obstetric rectovaginal fistula without sphincteral lesions and treated with a novel tailored technique. Our innovative surgical management consisted of preparing the neck of the fistula inside the vagina and folding it into the rectum so as to enclose the fistula within two semicontinuous sutures (stapled transanal rectal resection); no fecal diversion was performed. Postoperative follow-up at 9 months showed no recurrence of the fistula.
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收藏
页码:601 / 603
页数:2
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