Rectovaginal Fistula: A New Approach By Stapled Transanal Rectal Resection

Elsevier BV - Tập 12 - Trang 601-603 - 2007
Giovanni Li Destri1, Beniamino Scilletta1, Tiziana Grazia Tomaselli2, Giuseppe Zarbo2
1Department of Surgical Sciences, Organ Transplantation, Advanced Technologies, University of Catania, Sant’Agata Li Battiati, Italy
2Department of Obstetric and Gynecology, Radiology, and Anesthesiology, University of Catania, Catania, Italy

Tóm tắt

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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