A transvaginal approach to rectovaginal fistulae for the colorectal surgeon: technical notes and case series.
Tech Coloproctol
; 22(4): 305-311, 2018 04.
Article
em En
| MEDLINE
| ID: mdl-29603042
ABSTRACT
Rectovaginal fistulae (RVF) are not uncommonly seen by the colorectal surgeon and gynaecologist, often debilitating for patients and typically managed with multiple operative procedures, achieving control rather than cure. Transvaginal repair is the least common surgical approach but has clear advantages and equivalent healing rates to other approaches. Here, we describe a simple, safe and effective flapless transvaginal technique for the repair of primary and recurrent low- and mid-level RVF of varying aetiology. We report 15 cases of RVF (nine recurrent) treated by this technique at a single UK centre. The healing rate was 67%. There were no major complications. Median follow-up was 48 months.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Vagina
/
Fístula Retovaginal
Limite:
Adult
/
Aged
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Female
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Humans
/
Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article