TY - JOUR
T1 - Rectovaginal fistula
T2 - A new approach by stapled transanal rectal resection
AU - Li Destri, Giovanni
AU - Scilletta, Beniamino
AU - Tomaselli, Tiziana Grazia
AU - Zarbo, Giuseppe
PY - 2008/3
Y1 - 2008/3
N2 - 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.
AB - 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.
KW - Obstetric trauma
KW - Rectovaginal fistula
KW - STARR
UR - http://www.scopus.com/inward/record.url?scp=38949166718&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38949166718&partnerID=8YFLogxK
U2 - 10.1007/s11605-007-0333-6
DO - 10.1007/s11605-007-0333-6
M3 - Article
C2 - 17899300
AN - SCOPUS:38949166718
SN - 1091-255X
VL - 12
SP - 601
EP - 603
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
IS - 3
ER -