Transvaginal repair of recurrent pouch-vaginal fistula.
Colorectal Dis
; 16(12): O440-2, 2014 Dec.
Article
in En
| MEDLINE
| ID: mdl-25204796
ABSTRACT
AIM:
Pouch-vaginal fistula is an uncommon but unpleasant complication. The chance of successful repair with various surgical procedures is around 50% and the early promise of collagen button plugs was not followed by good long-term results. We report a series of patients who underwent transvaginal repair of pouch-vaginal fistula after failed collagen plugs accompanied by a video to show the operative technique.METHOD:
Patients were identified from a prospectively maintained database. Patient demographics, operation notes, complications and ultimate outcome were recorded.RESULTS:
Eleven patients, each of whom had previously undergone an attempt to close the fistula with a collagen button plug, underwent transvaginal repair. Nine (81%) were successful at a median follow-up of 14 (6-56) months. The remaining two patients reported symptomatic improvement.CONCLUSION:
Pouch-vaginal fistula can be successfully closed by the transvaginal technique after a failed button plug procedure.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Intestinal Fistula
/
Vaginal Fistula
/
Colonic Pouches
Type of study:
Etiology_studies
Limits:
Adult
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Colorectal Dis
Journal subject:
GASTROENTEROLOGIA
Year:
2014
Type:
Article
Affiliation country:
United kingdom