Stapled Transperineal Fistula Repair of Rectovaginal Fistula: A Preliminary Experience.
Surg Innov
; 26(1): 66-71, 2019 Feb.
Article
en En
| MEDLINE
| ID: mdl-30196767
ABSTRACT
PURPOSE:
This study is designed to assess the safety, efficacy, and postoperative outcomes of stapled transperineal repair in management of rectovaginal fistula (RVF).METHODS:
A prospective database of patients with RVF undergoing stapled transperineal repair between May 2015 and December 2017 was established and studied retrospectively.RESULTS:
Seven consecutive RVF patients underwent stapled transperineal repair. The mean operative time was 119 ± 42 minutes. The estimated blood loss during operation was 24 ± 14 mL. Concomitant levatorplasty was performed with 4 patients and sphincteroplasty with 2 patients. Over a median follow-up of 6 months (range 3-33 months), no case was encountered with recurrence. The mean postoperative Wexner score was significantly improved when compared with the preoperative scores (mean preoperative vs postoperative Wexner scores 3 [range 3-4] vs 1 [range 1-2], respectively; P = .01).CONCLUSIONS:
Stapled transperineal repair of RVF appears safe and effective. The initial results are encouraging, suggesting the need for a more formal prospective assessment of this technique as part of a randomized trial for the management of low- and mid-vaginal fistulas.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Fístula Rectovaginal
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Grapado Quirúrgico
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Procedimientos Quirúrgicos Mínimamente Invasivos
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Procedimientos de Cirugía Plástica
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Seguridad del Paciente
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Surg Innov
Año:
2019
Tipo del documento:
Article