2,009 results match your criteria Rectovaginal Fistula


Outcome of Single Stage Correction of High Variety of Anorectal Malformation.

Mymensingh Med J 2019 Jan;28(1):8-14

Dr Sangul Islam, Medical Officer, SOPD, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh.

The standard treatment of high variety anorectal malformation (ARM) is the staged approach. A growing interest in one stage correction of high variety ARM was noted recently. The aim of this study was to examine the feasibility, safety and outcome of single stage correction of High variety ARM. Read More

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January 2019

Prevalence of high-grade perineal tear during labor in Mexican adolescents.

Colomb Med (Cali) 2018 Dec 30;49(4):261-264. Epub 2018 Dec 30.

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud Departamento de Ciencias Clínicas. Monterrey, Nuevo León, México.

Introduction: There is a high rate of deliveries in adolescents in Mexico. This age group is vulnerable to obstetric complications, including lacerations of the anal sphincter.

Objective: To determine the prevalence of third and fourth degree perineal tears in adolescents during childbirth, and to evaluate risk factors in comparison with deliveries with lacerations of adult women. Read More

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http://dx.doi.org/10.25100/cm.v49i4.3515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342085PMC
December 2018
3 Reads

Ambulatory Surgery for Perianal Crohn's Disease: Study of Feasibility.

Gastroenterol Res Pract 2018 23;2018:5249087. Epub 2018 Dec 23.

Policlinico Tor Vergata, Department of Surgery, University Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.

Background: One-third of Crohn's disease (CD) patients present perianal fistula. The gold standard in the diagnosis and treatment of symptomatic perianal disease (PAD) in CD is the exploration of the anal canal and distal rectum under anesthesia (EUA). This procedure is mainly conducted as a day case surgery. Read More

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http://dx.doi.org/10.1155/2018/5249087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323458PMC
December 2018
4 Reads

Rectovaginal fistula during treatment with axitinib in a patient with renal cell carcinoma: a case report and review of the literature.

Anticancer Drugs 2019 Jan 11. Epub 2019 Jan 11.

Department of Medical Oncology, ASST-Settelaghi, Circolo Hospital, Varese, Italy.

Renal cell carcinoma (RCC) is one of the most frequent malignancies of the adults. Its incidence has been increasing steadily by 2-4% each year. Up to 30% of patients present with metastases at diagnosis. Read More

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http://dx.doi.org/10.1097/CAD.0000000000000742DOI Listing
January 2019
2 Reads

Management of anoperineal lesions in Crohn's disease: a French National Society of Coloproctology national consensus.

Tech Coloproctol 2018 Dec 2;22(12):905-917. Epub 2019 Jan 2.

Centre Hospitalier Universitaire Haut Lévêque, Avenue Magellan, 33604, Pessac Cedex, France.

The French National Society of Coloproctology established national recommendations for the treatment of anoperineal lesions associated with Crohn's disease. Treatment strategies for acute abscesses, active fistulas (active denovo and still active under treatment), fistulas in remission, and rectovaginal fistulas are suggested. Recommendations have been graded following the international recommendations, and when absent, professional agreement has been established. Read More

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http://dx.doi.org/10.1007/s10151-018-1906-yDOI Listing
December 2018

Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch-vaginal fistulas in patients with inflammatory bowel disease.

Tech Coloproctol 2019 Jan 2. Epub 2019 Jan 2.

Department of Surgery, Caritas Clinic St. Josef, Landshuter Str. 65, 93053, Regensburg, Germany.

Background: The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch-vaginal fistulas in patients with inflammatory bowel disease (IBD).

Methods: A retrospective study was conducted in patients with IBD who had GMT performed by a single surgeon between 2000 and 2018. Follow-up data regarding healing rate, complications, additional procedures, and stoma closure rate was collected. Read More

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http://link.springer.com/10.1007/s10151-018-1918-7
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http://dx.doi.org/10.1007/s10151-018-1918-7DOI Listing
January 2019
7 Reads

Persistent fecal incontinence into adulthood after repair of anorectal malformations.

Int J Colorectal Dis 2018 Dec 28. Epub 2018 Dec 28.

Department of Pediatric Surgery, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.

Purpose: Persistent fecal incontinence beyond childhood is common in ARM patients. The aim of this study was to analyze a consecutive series of adult patients with persistent incontinence, establish the causes, and evaluate whether further treatment could be offered.

Methods: Forty-four adult ARM patients with reported incontinence were invited. Read More

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http://dx.doi.org/10.1007/s00384-018-3220-6DOI Listing
December 2018
2 Reads

MRI evaluation of anal and perianal diseases.

Diagn Interv Radiol 2019 Jan;25(1):21-27

Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.

Anal and perianal region is a commonly affected area in the course of several inflammatory, infectious, and neoplastic diseases. Several imaging modalities may be used in imaging evaluation of this area and magnetic resonance imaging (MRI) emerges as the imaging modality of choice due to its superb soft tissue resolution. MRI is not only useful for initial detection of anal/perianal pathologies but also in the follow-up of these disorders. Read More

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http://dx.doi.org/10.5152/dir.2018.17499DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339630PMC
January 2019
5 Reads

Partial Stapled Hemorrhoidopexy Versus Circumferential Stapled Hemorrhoidopexy for Grade III to IV Prolapsing Hemorrhoids: A Randomized, Noninferiority Trial.

Dis Colon Rectum 2019 Feb;62(2):223-233

Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: Long-term outcomes and efficacy of partial stapled hemorrhoidopexy are not known.

Objective: The purpose of this study was to compare the long-term clinical efficacy and safety of partial stapled hemorrhoidopexy with circumferential stapled hemorrhoidopexy.

Design: This was a parallel group, randomized, noninferiority clinical trial. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001261DOI Listing
February 2019
2 Reads

Diverting stoma-related complications following colorectal endometriosis surgery: a 163-patient cohort.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 6;232:46-53. Epub 2018 Nov 6.

Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis, Rouen University Hospital, Rouen, France; Clinique Tivoli-Ducos, Bordeaux, France. Electronic address:

Objective: Deep endometriosis may simultaneously infiltrate the vagina and the rectosigmoid, which associated resection may increase the risk of postoperative complications. Among these complications, rectovaginal fistula is one of the worst. To reduce the risk of rectovaginal fistula and related complications, surgeons may employ diverting stoma. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.11.008DOI Listing
January 2019
9 Reads

Diverting Stoma for Refractory Ano-perineal Crohn's Disease, Is It Really Useful in the Anti-TNF Era? A multivariate analysis in 74 consecutive patients.

J Crohns Colitis 2018 Nov 19. Epub 2018 Nov 19.

Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, (AP-HP), University Denis Diderot (Paris VII), Clichy, France.

Background & Aims: Faecal diversion (FD) can be proposed in patients with refractory anoperineal Crohn's disease (APCD). This study aimed to assess long-term results of this strategy, following the advent of the anti-TNF era.

Methods: All patients who underwent FD for refractory APCD between 2005 and 2017 were included, excluding patients with a history of ileal pouch-anal anastomosis. Read More

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http://dx.doi.org/10.1093/ecco-jcc/jjy195DOI Listing
November 2018
10 Reads

Colovesical fistula as the initial manifestation of advanced colon cancer: A case report and review of literature.

World J Clin Cases 2018 Oct;6(12):538-541

Department of Radiology, Medical University in Lublin, Lublin 20-081, Polen (POL), Poland.

Colovesical fistulas (CVFs) are rare complications of very advanced cancers of the abdominal or pelvic cavity and often cause diagnostic troubles. CVFs are found more often in males, whereas females usually suffer from rectovaginal or vesicovaginal fistulas. This article presents a case of a female patient who was admitted to the hospital because of acute diarrhea, presumably of infectious origin, and with only subtle abnormalities in blood tests and urinalysis. Read More

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http://www.wjgnet.com/2307-8960/full/v6/i12/538.htm
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http://dx.doi.org/10.12998/wjcc.v6.i12.538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212606PMC
October 2018
8 Reads

[Definition, epidemiology and risk factors of obstetric anal sphincter injuries: CNGOF Perineal Prevention and Protection in Obstetrics Guidelines].

Gynecol Obstet Fertil Senol 2018 12 29;46(12):913-921. Epub 2018 Oct 29.

Service de gynécologie-obstétrique, hôpitaux de Nantes, CHU Hôtel-Dieu, 38, boulevard Jean-Monnet, 44000 Nantes, France; Université de Nantes, 1, rue Gaston-Veil, 44000 Nantes, France.

Objectives: The aim of this review was to agree on a definition of the obstetric anal sphincter injuries (OASIS), to determine the prevalence and risk factors.

Methods: A comprehensive review of the literature on the obstetric anal sphincter injuries (OASIS), establishment of levels of evidence (NP), and grades of recommendation according to the methodology of the recommendations for clinical practice.

Results: To classify obstetric anal sphincter injuries (OASIS), we have used the WHO-RCOG classification, which lists 4 degrees of severity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687189183028
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http://dx.doi.org/10.1016/j.gofs.2018.10.028DOI Listing
December 2018
7 Reads

Trajectories of women's physical and psychosocial health following obstetric fistula repair in Uganda: a longitudinal study.

Trop Med Int Health 2019 Jan 18;24(1):53-64. Epub 2018 Nov 18.

Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA, USA.

Objectives: To explore trajectories of physical and psychosocial health, and their interrelationship, among women completing fistula repair in Uganda for 1 year post-surgery.

Methods: We recruited a 60-woman longitudinal cohort at surgical hospitalisation from Mulago Hospital in Kampala Uganda (Dec 2014-June 2015) and followed them for 1 year. We collected survey data on physical and psychosocial health at surgery and at 3, 6, 9 and 12 months via mobile phone. Read More

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http://dx.doi.org/10.1111/tmi.13178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324987PMC
January 2019
18 Reads

Obstetrical Outcomes in Adult Patients Born with Complex Anorectal Malformations and Cloacal Anomalies: A Literature Review.

J Pediatr Adolesc Gynecol 2019 Feb 24;32(1):7-14. Epub 2018 Oct 24.

Nationwide Children's Hospital, Columbus, Ohio.

Patients born with complex anorectal malformations often have associated Müllerian anomalies, which might affect fertility and obstetrical outcomes. Other vertebral-anorectal-tracheoesophageal-renal-limb associations, such as renal or cardiac anomalies, could also affect pregnancy intention, fertility rates, and recommendations about mode of delivery or obstetrical outcomes. Associated conditions present at birth, like hydrocolpos, could also potentially affect fertility. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.10.002DOI Listing
February 2019
17 Reads

Rectovaginal fistula induced by Resonium A: first case report and literature review.

ANZ J Surg 2018 Oct 22. Epub 2018 Oct 22.

Department of Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.

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http://doi.wiley.com/10.1111/ans.14900
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http://dx.doi.org/10.1111/ans.14900DOI Listing
October 2018
4 Reads

MRI review of female pelvic fistulizing disease.

J Magn Reson Imaging 2018 Nov;48(5):1172-1184

Mayo Clinic Department of Radiology, Rochester, Minnesota, USA.

A wide variety of fistulae occur in the female pelvis, most of which cause significant morbidity. Diagnosis, characterization, and treatment planning may be difficult using traditional imaging modalities such as fluoroscopy and computed tomography. To date, there is no comprehensive literature review of the radiologic findings associated with various types of female pelvic fistulae, and furthermore, none dedicated to magnetic resonance imaging (MRI). Read More

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https://onlinelibrary.wiley.com/doi/pdf/10.1002/jmri.26248
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http://doi.wiley.com/10.1002/jmri.26248
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http://dx.doi.org/10.1002/jmri.26248DOI Listing
November 2018
10 Reads

Update on the Natural Course of Fistulizing Perianal Crohn's Disease in a Population-Based Cohort.

Inflamm Bowel Dis 2018 Oct 19. Epub 2018 Oct 19.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

Background: This study sought to re-estimate the cumulative incidence of perianal or rectovaginal fistulas and the associated proctectomy rate in the prebiologic era vs the biologic era using a population-based cohort of Crohn's disease (CD) patients.

Methods: The medical records of 414 residents of Olmsted County, Minnesota, who were diagnosed with CD between 1970 and 2010 were reviewed. The cumulative incidence of perianal or rectovaginal fistulas from time of CD diagnosis and the cumulative rate of proctectomy from date of first perianal or rectovaginal fistula diagnosis were estimated using the Kaplan-Meier method. Read More

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http://dx.doi.org/10.1093/ibd/izy329DOI Listing
October 2018
2 Reads

Migration of a fractured ring IUD resulting in vesicovaginal fistula and vaginal calculus.

Eur J Contracept Reprod Health Care 2018 Oct 16;23(5):387-389. Epub 2018 Oct 16.

a Department of Gynaecology , Taizhou First People's Hospital , Taizhou , China.

Case: Although many complications have been reported with intrauterine contraceptive devices (IUDs), vesicovaginal fistula with secondary vaginal stones is rare. We report the case of a 46-year-old woman who presented with a vaginal discharge lasting 2 months. Two years previously, she had undergone cystoscopic lithotripsy and surgery to remove an IUD, after pelvic radiography had revealed a fractured Chinese stainless steel ring IUD with secondary vesical stones that had been the cause of her urinary tract symptoms. Read More

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https://www.tandfonline.com/doi/full/10.1080/13625187.2018.1
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http://dx.doi.org/10.1080/13625187.2018.1517409DOI Listing
October 2018
14 Reads

Obstetric fistula: The role of physiotherapy: A report from the Physiotherapy Committee of the International Continence Society.

Authors:
Gill Brook

Neurourol Urodyn 2019 Jan 12;38(1):407-416. Epub 2018 Oct 12.

International Organization of Physical Therapists in Women's Health, Burras Lynd, Otley, West Yorkshire, United Kingdom.

Aims: To discuss the role of physiotherapy in the management of women who have suffered an obstetric fistula, referring to research findings when appropriate and available, and the experiences of clinical specialists in the field.

Methods: The experiences of physiotherapists who have worked in countries where obstetric fistula is prevalent, and the limited literature available, were considered in producing this consensus document on behalf of the ICS Physiotherapy Committee.

Results: The role of physiotherapy both pre- and post-fistula repair was identified, and is multi-faceted. Read More

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http://doi.wiley.com/10.1002/nau.23851
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http://dx.doi.org/10.1002/nau.23851DOI Listing
January 2019
3 Reads

Laparoscopically Assisted Anorectoplasty for Intermediate-Type Imperforate Anus: Comparison of Surgical Outcomes with the Sacroperineal Approach.

J Laparoendosc Adv Surg Tech A 2018 Oct 2. Epub 2018 Oct 2.

1 Division of Pediatric Surgery, Saitama Children's Medical Center , Saitama, Japan .

Aim: This study aimed to compare the surgical outcomes of patients with the intermediate-type imperforate anus who underwent laparoscopically assisted anorectoplasty (LAARP; L group) with those of patients who underwent sacroperineal anorectoplasty (S group).

Materials And Methods: The medical records of patients with intermediate-type imperforate anus at a single institution between April 1983 and April 2017 were retrospectively reviewed. Fecal continence was evaluated using the clinical assessment score for fecal continence developed by the Japanese Study Group of Anorectal Anomalies (maximum score, 8). Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0330
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http://dx.doi.org/10.1089/lap.2018.0330DOI Listing
October 2018
3 Reads

Imaging and Surgical Management of Anorectal Vaginal Fistulas.

Radiographics 2018 Sep-Oct;38(5):1385-1401

From the Department of Radiology (W.M.V., S.P.S., M.C.W., J.G.F.), Department of Surgery (A.L.L.), and School of Medicine (S.T.K.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; and Department of Radiology, Mayo Clinic, Scottsdale, Ariz (C.O.M.).

Anorectal vaginal fistulas (ARVFs) can result in substantial morbidity and potentially embarrassing symptoms in adult women of all ages. Despite having what may be obvious clinical manifestations, the fistulas themselves can be difficult to identify with imaging. MRI is the modality of choice for the diagnosis and characterization of ARVFs. Read More

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http://dx.doi.org/10.1148/rg.2018170167DOI Listing
December 2018
3 Reads

Stapled Transperineal Fistula Repair of Rectovaginal Fistula: A Preliminary Experience.

Surg Innov 2018 Sep 10:1553350618799452. Epub 2018 Sep 10.

1 The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.

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. Read More

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http://dx.doi.org/10.1177/1553350618799452DOI Listing
September 2018
18 Reads

[Martius procedure in complex anorectal-vaginal fistula management: five-case report].

Rev Gastroenterol Peru 2018 Apr-Jun;38(2):196-200

Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.

The repair of complex anorectal-vaginal fistulas represents an anatomic-surgical challenge for the surgeon, and the appropriate surgical procedure must be selected for each case. The procedure of Martius is described as the transposition of the bulbocavernosus muscle to repair the recto-vaginal fistula. Five cases of anorectal-vaginal fistulae were repaired by this procedure from 2010 to 2014. Read More

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December 2018

Revision Surgery in the Management of Anorectal Malformations: Experience from a Tertiary Center of India.

J Indian Assoc Pediatr Surg 2018 Jul-Sep;23(3):148-152

Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareli Road, Lucknow, Uttar Pradesh, India.

Aim And Objectives: Despite the significant advancements in the management of anorectal malformations (ARMs), there are various surgical and functional complications reported. Complications are closely related with the surgical techniques adopted and the types of malformations. In this article, we present our experiences with ARM patients who required reoperation after unsuccessful previous surgeries or who had developed complications related to the previous surgical techniques. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_140_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6042176PMC
July 2018
6 Reads

Fluorescence of Deep Infiltrating Endometriosis During Laparoscopic Surgery: A Preliminary Report on 6 Cases.

Surg Innov 2018 Oct 12;25(5):450-454. Epub 2018 Jul 12.

1 St Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

Background: The standard treatment of rectovaginal deep infiltrating endometriosis nodules (RVDIEN) consists in their surgical removal. RVDIEN are anatomically neovascularized. Indocyanine green (ICG) reveals vascularized structures when becoming fluorescent after exposure to near-infrared (NIR) light. Read More

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http://dx.doi.org/10.1177/1553350618785486DOI Listing
October 2018
26 Reads

Gracilis muscle transposition for the treatment of recurrent rectovaginal and pouch-vaginal fistula: is Crohn's disease a risk factor for failure? A prospective cohort study.

Updates Surg 2018 Dec 7;70(4):485-490. Epub 2018 Jul 7.

Surgery of the Alimentary Tract, Department of Medical and Surgical Sciences, Sant'Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.

Background: The surgical management of rectovaginal fistulae associated with Crohn's disease is often frustrated by poor results regardless of the different techniques. The outcomes of the gracilis muscle transposition (GMT) for the treatment of recurrent Crohn's-associated fistulae are still debated. The aim of the study is to determine whether the success rate of GMT is similar in Crohn's disease patients and in a control group. Read More

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http://dx.doi.org/10.1007/s13304-018-0558-9DOI Listing
December 2018
11 Reads

Loop colostomies are safe in anorectal malformations.

J Pediatr Surg 2018 Nov 1;53(11):2170-2173. Epub 2018 Jun 1.

Neonatal and Paediatric Surgery, Great Ormond Street Hospital, London, WC1N 3JH, UK; Stem Cells and Regenerative Medicine Section, DBC, Institute of Child Health, University College London, London, WC1N 1EH, UK. Electronic address:

Aim Of The Study: Divided colostomy (DC) has been recommended in anorectal malformations (ARMs) with previously reported advantages of decreasing overflow into the distal limb and urinary tract infections (UTIs). Skin bridge loop colostomy (LC) is a technically easier alternative without an increase in these complications. We report our institutional experience of LC in ARM. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183037
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http://dx.doi.org/10.1016/j.jpedsurg.2018.05.022DOI Listing
November 2018
8 Reads

Hostile pelvis: how to avoid permanent stoma.

Updates Surg 2018 Dec 27;70(4):459-465. Epub 2018 Jun 27.

Department of General Surgery, Sacred Heart - Don Calabria Hospital, Via Don A. Sempreboni 5, 37024, Negrar, Verona, Italy.

The aim was to report our experience with delayed colo-anal anastomosis (DCA) to avoid permanent stoma for complex rectal cases evaluating short- and long-term outcomes. Nine patients who underwent DCA from 2011 to 2016 were collected and analysed case by case. We considered medical history and surgical outcomes. Read More

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http://dx.doi.org/10.1007/s13304-018-0555-zDOI Listing
December 2018
4 Reads

Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy.

Obstet Gynecol Int 2018 6;2018:5298214. Epub 2018 May 6.

Department of Obstetrics and Gynecology, Hacettepe University, Ankara, Turkey.

Aim: To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus.

Materials And Methods: This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. Read More

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http://dx.doi.org/10.1155/2018/5298214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960505PMC
May 2018
3 Reads

Bowel surgery as a fertility-enhancing procedure in patients with colorectal endometriosis: methodological, pathogenic and ethical issues.

Hum Reprod 2018 07;33(7):1205-1211

Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via Festa del Perdono 7, Milan, Italy.

Bowel surgery for colorectal endometriosis is being promoted to infertile women without severe sub-occlusive symptoms, with the objective of improving the likelihood of conception. Contrary to rectal shaving, bowel surgery involving full-thickness disk excision and segmental resection entails opening of the intestinal lumen thus increasing the risk of postoperative infectious complications. About 1 in 10 patients undergoing colorectal resection for intestinal endometriosis will experience severe sequelae, including anastomotic dehiscence, rectovaginal fistula formation, and bladder and bowel denervation. Read More

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http://dx.doi.org/10.1093/humrep/dey104DOI Listing
July 2018
4 Reads

Colorectal-Vaginal Fistulas: Imaging and Novel Interventional Treatment Modalities.

J Clin Med 2018 Apr 22;7(4). Epub 2018 Apr 22.

Mayo Clinic Arizona; Phoenix, AZ 85054 USA.

Colovaginal and/or rectovaginal fistulas cause significant and distressing symptoms, including vaginitis, passage of flatus/feces through the vagina, and painful skin excoriation. These fistulas can be a challenging condition to treat. Although most fistulas can be treated with surgical repair, for those patients who are not operative candidates, limited options remain. Read More

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http://dx.doi.org/10.3390/jcm7040087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5920461PMC
April 2018
13 Reads

A Rare Case of Rectovaginal Due to Consensual Sexual Intercourse.

Sultan Qaboos Univ Med J 2018 Feb 4;18(1):e107-e109. Epub 2018 Apr 4.

Department of Obstetrics & Gynaecology, Jordan Healthcare Centre, Amman, Jordan.

Rectovaginal after sexual intercourse are rare. We report a healthy recently married 21-year-old woman who presented to the Jordan Healthcare Centre, Amman, Jordan in 2014 with a five-week history of passing and stool from the vagina. Six weeks prior, she had sustained a rectovaginal injury during initial consensual sexual intercourse, leading to the development of a distal rectovaginal . Read More

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http://dx.doi.org/10.18295/squmj.2018.18.01.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892800PMC
February 2018
1 Read

Functional Outcomes After Rectal Resection for Deep Infiltrating Pelvic Endometriosis: Long-term Results.

Dis Colon Rectum 2018 Jun;61(6):733-742

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital Bern, University of Bern, Switzerland.

Background: Curative management of deep infiltrating endometriosis requires complete removal of all endometriotic implants. Surgical approach to rectal involvement has become a topic of debate given potential postoperative bowel dysfunction and complications.

Objective: This study aims to assess long-term postoperative evacuation and incontinence outcomes after laparoscopic segmental rectal resection for deep infiltrating endometriosis involving the rectal wall. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001047DOI Listing
June 2018
10 Reads

Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres: a multicentre prospective cohort study.

BMJ Open 2018 04 9;8(4):e018924. Epub 2018 Apr 9.

Birmingham Women's NHS Foundation Trust, University of Birmingham, Birmingham, UK.

Objective: To estimate the effectiveness and safety of laparoscopic surgical excision of rectovaginal endometriosis.

Design: A multicentre, prospective cohort study.

Setting: 51 hospitals accredited as specialist endometriosis centres. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-01892
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http://dx.doi.org/10.1136/bmjopen-2017-018924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892761PMC
April 2018
14 Reads

A transvaginal approach to rectovaginal fistulae for the colorectal surgeon: technical notes and case series.

Tech Coloproctol 2018 04 30;22(4):305-311. Epub 2018 Mar 30.

Department of Colorectal Surgery, University Hospitals Southampton NHS Trust, Southampton General Hospital, Southampton, SO16 6YD, UK.

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. Read More

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http://dx.doi.org/10.1007/s10151-018-1775-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954075PMC

[Evidence-based ways of colorectal anastomotic complications prevention in the setting of digestive deep endometriosis resection: CNGOF-HAS Endometriosis Guidelines].

Gynecol Obstet Fertil Senol 2018 Mar 7;46(3):296-300. Epub 2018 Mar 7.

Service de gynécologie, GH Paris Saint-Joseph, 185, rue Raymond-Losserand, 75001 Paris, France.

Management of deep pelvic and digestive endometriosis can lead to colorectal resection and anastomosis. Colorectal anastomosis carries risks for dreaded infectious and functional morbidity. The aim of the study was to establish, regarding the published data, the role of the three most common used surgical techniques to prevent such complications: pelvic drainage, diverting stoma, epiplooplasty. Read More

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http://dx.doi.org/10.1016/j.gofs.2018.02.007DOI Listing

Martius Flap for Persistent, Complex Rectovaginal Fistula.

Dis Colon Rectum 2018 Apr;61(4):520

Division of Colon and Rectal Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

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http://dx.doi.org/10.1097/DCR.0000000000001024DOI Listing
April 2018
4 Reads

Stapled Hemorrhoidopexy: Results at 10-Year Follow-up.

Dis Colon Rectum 2018 Apr;61(4):491-498

Colorectal and Pelvic Floor Diseases Center, Department of General Surgery, S. Maria dei Battuti Hospital, Conegliano Veneto, Italy.

Background: Despite the advantages of stapled hemorrhoidopexy reported in the literature in terms of postoperative pain, hospital stay, and duration of convalescence, it was described to have a higher recurrence rate compared with conventional hemorrhoidectomy.

Objective: The aim of this study was to evaluate clinical outcomes and patient satisfaction after stapled hemorrhoidopexy at 10-year follow-up.

Design: This was a retrospective cohort analysis conducted on prospectively collected data. Read More

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http://Insights.ovid.com/crossref?an=00003453-201804000-0001
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http://dx.doi.org/10.1097/DCR.0000000000001025DOI Listing
April 2018
8 Reads

One or Two Stages Procedure for Repair of Rectovestibular Fistula: Which is Safer? (A Single Institution Experience).

Afr J Paediatr Surg 2017 Apr-Jun;14(2):27-31

Department of Pediatric Surgery, Zagazig University Hospital, Zagazig, Egypt.

Background: Rectovestibular fistula (RVF) is the most common type of anorectal malformations in females. The need for a diverting colostomy during correction of defect has ignited a heated debate. In this study, we reviewed the girls with RVF that had been treated by either one or two stage procedure in the past 10 years in our institution to define whether one stage or two stage procedures is safer and more beneficial for the patients. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_61_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868232PMC
June 2018
7 Reads

Natural Orifice Specimen Extraction during Laparoscopic Bowel Resection for Colorectal Endometriosis: Technique and Outcome.

J Minim Invasive Gynecol 2018 Sep - Oct;25(6):1065-1074. Epub 2018 Feb 14.

Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.

Study Objective: To present a detailed description of a modified natural orifice specimen extraction (NOSE) colectomy technique. We also report the postoperative outcomes of our prospective case series when compared with conventional laparoscopic bowel resection in a relatively large series of patients.

Design: Canadian Task Force classification II-1. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.02.006DOI Listing
February 2018
10 Reads

Fistulation between a colonic J-Pouch and the upper vagina in an irradiated pelvis: a rare complication following low anterior resection with colonic J-pouch anal anastomosis for rectal cancer.

BMJ Case Rep 2018 Feb 16;2018. Epub 2018 Feb 16.

Department of General Surgery, Shaare Zedek Medical Center, Jerusalem, Israel.

Formation of a colonic J-pouch with anastomosis to the rectal stump is an accepted form of reconstruction after low anterior resection (LAR) for rectal carcinoma. It is thought this can help prevent the onset of LAR syndrome as well as improve the quality of life in the first two years following surgery. Rectovaginal fistulation is a recognised complication of this form of surgery usually occurring because of technical failure leading to inclusion of the vaginal wall into the stapled anastomosis. Read More

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http://dx.doi.org/10.1136/bcr-2017-222251DOI Listing
February 2018
5 Reads

[A Case Report of Post-Radiochemotherapy Perineum Abscess Concurrent with Recurrence of Vaginal Cancer for Which Total Pelvic Exenteration Was Performed].

Gan To Kagaku Ryoho 2017 Nov;44(12):1763-1765

Dept. of Surgery, Kansai Rosai Hospital.

We report a case of a woman who was suffering from post-radiochemotherapy perineum abscess concurrent with the recurrence of vaginal cancer for which total pelvic exenteration was performed. A 66-year-oldwoman presentedat our hospital with irregular genital bleeding in November 2014. A series of examinations showedthat she was suffering from vaginal cancer(cT2N0M0, cStage II ). Read More

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November 2017
5 Reads

Radiation therapy for stage IVA uterine cervical cancer: treatment outcomes including prognostic factors and risk of vesicovaginal and rectovaginal fistulas.

Oncotarget 2017 Dec 1;8(68):112855-112866. Epub 2017 Dec 1.

Department of Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.

Purpose: To evaluate the safety and efficacy of radiation therapy for stage IVA uterine cervical cancer and to identify an optimal radiation regimen.

Results: Seventeen of the 28 patients developed recurrence after radiation therapy (local recurrence in 10 and distant metastasis in 12). The local control and distant metastasis-free rates at 3 years in all patients were 61% and 49%, respectively. Read More

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http://dx.doi.org/10.18632/oncotarget.22836DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5762556PMC
December 2017
8 Reads

Fertility outcomes in women experiencing severe complications after surgery for colorectal endometriosis.

Hum Reprod 2018 03;33(3):411-415

Department of Gynaecology and Obstetrics, Tenon University Hospital, Assistance Publique Hôpitaux de Paris (AP-HP), University Pierre and Marie Curie, 75006 Paris, France.

Study Question: What are the fertility outcomes in women wishing to conceive after experiencing a severe complication from surgical removal of colorectal endometriosis?

Summary Answer: The pregnancy rate (PR) among women who wished to conceive after a severe complication of surgery for colorectal endometriosis was 41.2% (spontaneously for 80%, after ART procedure for 20%).

What Is Known Already: While the long-term benefit of surgery on pain and quality of life is well documented for women with colorectal endometriosis, it exposes women to the risk of severe complications. Read More

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http://dx.doi.org/10.1093/humrep/dex375DOI Listing
March 2018
5 Reads

Postoperative complications after bowel endometriosis surgery by shaving, disc excision, or segmental resection: a three-arm comparative analysis of 364 consecutive cases.

Fertil Steril 2018 01;109(1):172-178.e1

Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis, Rouen University Hospital, Rouen, France; Research Group 4308 "Spermatogenesis and Gamete Quality," IHU Rouen Normandy, IFRMP23, Reproductive Biology Laboratory, Rouen University Hospital, Rouen, France. Electronic address:

Objective: To assess the postoperative complications related to three surgical procedures used in colorectal endometriosis: rectal shaving, disc excision, and segmental resection.

Design: Retrospective comparative study using data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis (CIRENDO) database.

Setting: University tertiary referral center. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2017.10.001DOI Listing
January 2018
16 Reads

Efficacy of autologous fat graft injection in the treatment of anovaginal fistulas.

Tech Coloproctol 2018 01 28;22(1):45-51. Epub 2017 Dec 28.

Medical Imaging Research Group, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.

Background: Injection of autologous fat is an established method within plastic surgery for soft tissue augmentation. The aim of the present study was to determine whether transperineal fat graft injection could promote healing of anovaginal fistulas.

Methods: The procedures were performed at the University Hospital of North Norway, Tromsø, Norway, and at Aarhus University Hospital, Aarhus, Denmark, between May 2009 and September 2016. Read More

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http://dx.doi.org/10.1007/s10151-017-1739-0DOI Listing
January 2018
3 Reads

Transanal Endoscopic Microsurgery for Patients with Rare Rectal Tumors.

J Laparoendosc Adv Surg Tech A 2018 May 13;28(5):546-552. Epub 2017 Dec 13.

Department of General Surgery, Peking Union Medical College Hospital , Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China .

Background: Transanal endoscopic microsurgery (TEM) has been accepted worldwide for the treatment of local rectal lesions. Rare rectal tumors consist of several different types of malignant or benign tumors. Surgical management is considered to be the only curative option. Read More

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http://dx.doi.org/10.1089/lap.2017.0606DOI Listing
May 2018
4 Reads

Three Anastomotic Techniques Following Laparoscopic Rectal Cancer Resection: Our Experience in 155 Patients.

Surg Innov 2018 Feb 9;25(1):57-61. Epub 2017 Dec 9.

4 Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Purpose: This study aimed to assess the impact of 3 anastomotic techniques after laparoscopic rectal cancer resection.

Methods: In a cross-sectional study, the data of 155 patients who underwent surgery for rectal cancer were retrieved. An anastomosis was created between the left colon and anal canal with 3 different methods: coloanal anastomosis with protective ileostomy (group A), coloanal anastomosis without ostomy (group B), and delayed coloanal anastomosis (group C). Read More

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http://dx.doi.org/10.1177/1553350617745976DOI Listing
February 2018
16 Reads