2,128 results match your criteria Rectovaginal Fistula


Indications for surgical intervention in a postpartum pelvic floor specialty clinic.

Int Urogynecol J 2020 Jul 10. Epub 2020 Jul 10.

University of Michigan Department of Obstetrics and Gynecology, L3211 Women's Hospital, SPC 5276, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.

Objective: To determine the prevalence and type of surgical procedures undergone by postpartum women seen in a specialty postpartum pelvic floor clinic over 11 years.

Methods: This study was a retrospective chart review of patients requiring surgical intervention within a 1-year period after their initial visit to the Michigan Healthy Healing After Delivery (MHHAD) clinic at the University of Michigan from July 2007 through January 2019. Chart review was performed to abstract demographics, obstetric data, indication for postpartum clinic visit, primary and secondary indications for surgery, and procedures performed. Read More

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http://dx.doi.org/10.1007/s00192-020-04419-wDOI Listing

Gluteal-fold flap repair of rectovaginal fistula caused by aluminum potassium sulfate hydrate-tannic acid injection for internal hemorrhoids: a case report.

Surg Case Rep 2020 Jul 8;6(1):166. Epub 2020 Jul 8.

Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Background: Rectovaginal fistula (RVF) following aluminum potassium sulfate hydrate-tannic acid (ALTA) injection therapy for hemorrhoids is a rare complication. We report the first case of RVF after ALTA injection therapy successfully treated by gluteal-fold flap.

Case Presentation: A 49-year-old female suffered from a fever and rectal ulcer after undergoing internal hemorrhoid treatment with a submucosal ALTA injection at a previous clinic. Read More

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http://dx.doi.org/10.1186/s40792-020-00925-7DOI Listing

Vaginal Reconstruction in Patients with Mayer-Rokitansky-Küster-Hauser Syndrome-One Centre Experience.

Medicina (Kaunas) 2020 Jul 1;56(7). Epub 2020 Jul 1.

Department of Plastic and Reconstructive Surgery, "Prof. Dr. Agrippa Ionescu" Clinical Emergency Hospital, 011356 Bucharest, Romania.

The Mayer-Rokitansky-Küster-Hauser syndrome is a congenital condition in which patients are born with vaginal and uterus agenesis, affecting the ability to have a normal sexual life and to bear children. Vaginal reconstruction is a challenging procedure for plastic surgeons. The aim of this study is to report our experience in the management of twelve patients with congenital absence of the vagina due to the MRKH syndrome. Read More

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http://dx.doi.org/10.3390/medicina56070327DOI Listing

Outcomes of Gender Affirming Peritoneal Flap Vaginoplasty Using the Da Vinci Single Port Versus Xi Robotic Systems.

Eur Urol 2020 Jul 2. Epub 2020 Jul 2.

Department of Urology, New York University Langone Medical Center, New York, NY, USA. Electronic address:

Background: Robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV) with the da Vinci Xi system has been reported to be a safe alternative to traditional penile inversion vaginoplasty. Utilizing the Single Port (SP) robot system, our surgical approach has evolved.

Objective: To describe a step-by-step technique for RPGAV using the SP robot and to compare outcomes between Xi and SP systems. Read More

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http://dx.doi.org/10.1016/j.eururo.2020.06.040DOI Listing

Risk of bowel fistula following surgical management of deep endometriosis of the rectosigmoid: a series of 1102 cases.

Hum Reprod 2020 Jul 3. Epub 2020 Jul 3.

Department of Digestive Surgery, Rouen University Hospital, Rouen, France.

Study Question: What are the risk factors and prevalence of bowel fistula following surgical management of deep endometriosis infiltrating the rectosigmoid and how can it be managed?

Summary Answer: In patients managed for deep endometriosis of the rectosigmoid, risk of fistula is increased by bowel opening during both segmental colorectal resection and disc excision and rectovaginal fistula repair is more challenging than for bowel leakage.

What Is Known Already: Bowel fistula is known to be a severe complication of colorectal endometriosis surgery; however, there is little available data on its prevalence in large series or on specific management.

Study Design, Size, Duration: A retrospective study employing data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis (CIRENDO) from June 2009 to May 2019, in three tertiary referral centres. Read More

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http://dx.doi.org/10.1093/humrep/deaa131DOI Listing

Anterior Sagittal Anorectoplasty: Our Experience.

J Indian Assoc Pediatr Surg 2020 May-Jun;25(3):134-141. Epub 2020 Apr 11.

Department of Paediatric Surgery, SP Medical College, Bikaner, Rajasthan, India.

Context: Anterior sagittal anorectoplasty (ASARP) is accepted as one of the techniques for the repair of vestibular fistula (VF) and low-type anomalies, but some may have reservations.

Aims: The aim of the study is to describe the technique, important features, and functional and cosmetic outcomes of ASARP for the treatment of anorectal malformation (ARM) in females.

Settings And Design: A prospective study was performed from 1992 to 2017. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_28_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302463PMC

Women's experiences of rectovaginal fistula: an ethno- religious experience.

BMC Womens Health 2020 Jun 19;20(1):130. Epub 2020 Jun 19.

Students' Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Background: Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The present study aimed to explore the experiences of women with rectovaginal fistula in Kamyaran city, in Kurdestan province, west of Iran. Read More

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http://dx.doi.org/10.1186/s12905-020-00992-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305629PMC

Evaluation of genitourinary fistulas in pelvic malignancies with etiopathologic correlation: role of cross sectional imaging in detection and management.

Br J Radiol 2020 Jul 15;93(1111):20200049. Epub 2020 Jun 15.

Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital & Research Institute, Road No 10, Banjara Hills, Hyderabad, Telangana, India, 500034.

Objective: Genitourinary fistulas in pelvic malignancies are abnormal communications occurring due to either locally advanced tumours invading the surrounding organs or post-therapeutic complications of malignancies. In this article we review and describe the role of cross-sectional imaging findings in the management of genitourinary fistulas in pelvic malignancies.

Methods: A retrospective study, for the period January 2012 to December 2018, was undertaken in patients with pelvic malignancies having genitourinary fistulas. Read More

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http://dx.doi.org/10.1259/bjr.20200049DOI Listing

Recto-vaginal fistulas: A case series.

Int J Surg Case Rep 2020 May 30;72:147-152. Epub 2020 May 30.

Service d'urologie B, CHU Ibn Sina, Faculté de médecine et de pharmacie, Université Mohamed V, Rabat, Morocco.

Introduction: Rectovaginal fistula (RVF) is defined as an abnormal communication between the anterior wall of the rectum and the posterior wall of the vagina. Many surgical techniques have been described in the treatment of RVF. However, none has proved its superiority. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298318PMC

Identification of a group with high risk of postoperative complications after deep bowel endometriosis surgery: a retrospective study on 164 patients.

Arch Gynecol Obstet 2020 Aug 4;302(2):383-391. Epub 2020 Jun 4.

Department of General and Gynecological Surgery, University Hospital Center (CHU)-Rangueil, 1 Avenue du Professeur Jean Poulhès, 31400, Toulouse, France.

Purpose: Identify a group with a high risk of postoperative complications after deep bowel endometriosis surgery.

Methods: We conducted a retrospective study on patients treated from 2012 to 2018 in two departments of gynecological surgery at the Toulouse University Hospital, France. The postoperative complications were evaluated in relation to the surgical management, associated with or without non-digestive surgical procedures, initial disease and patient's characteristics. Read More

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http://dx.doi.org/10.1007/s00404-020-05604-4DOI Listing

Redo Transanal Soave Pull Through with or without Assistance in Hirschsprung Disease: An Experience in 46 Patients.

Eur J Pediatr Surg 2020 May 26. Epub 2020 May 26.

Department of General Surgery, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.

Introduction:  Transanal Soave pull through (PT) with or without assistance can be performed as a redo procedure for Hirschsprung disease (HD). In this study, we reviewed the indications and clinical outcomes of redo transanal Soave with or without assistance.

Materials And Methods:  A retrospective analysis was performed on patients who underwent redo transanal Soave with or without assistance in our hospital from 2004 to 2016, and did not have rectourethral fistula or rectovaginal fistula. Read More

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http://dx.doi.org/10.1055/s-0040-1710028DOI Listing

Therapy of pessary-induced rectovaginal fistula and pelvic organ prolapse in elderly patients by vaginal approach and modified LeFort colpocleisis: a case series.

Arch Gynecol Obstet 2020 Aug;302(2):283-287

Department of Obstetrics and Gynecology, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tübingen, Germany.

Purpose: Pelvic organ prolapse (POP) presents a common benign condition in women associated with reduced quality of life (QoL). The use of pessaries is considered a first-line treatment of POP. However, pessaries can cause perforations into adjacent organs resulting in fistulas. Read More

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http://dx.doi.org/10.1007/s00404-020-05602-6DOI Listing

Post surgical rectovaginal fistula: who really benefits from stoma diversion?

Updates Surg 2020 May 24. Epub 2020 May 24.

Department of Surgery, IRCCS, Ospedale Sacro Cuore Don Calabria, Via Don A. Sempreboni 5, Negrar Di Valpolicella, 37024, Verona, Italy.

To analyze the role of stoma diversion and timing of stoma maintenance in the healing of post-surgical Recto Vaginal Fistulae (psRVF). A retrospective analysis of a prospectively maintained registry. All patients with a psRVF diagnosed at IRCCS Sacro Cuore-Don Calabria Hospital of Negrar di Valpolicella from January 2002 to December 2016 were analyzed. Read More

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http://dx.doi.org/10.1007/s13304-020-00810-wDOI Listing

Endorectal advancement flap for the treatment of a rectovaginal fistula - a video vignette.

Colorectal Dis 2020 May 21. Epub 2020 May 21.

Department of Surgery, Puerta del Mar University Hospital, Cádiz, Spain.

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http://dx.doi.org/10.1111/codi.15150DOI Listing

Vegetable Cells as a Clue to the Biopsy Diagnosis of Rectovaginal Fistula: A Significant, Unexpected Value.

Int J Surg Pathol 2020 May 10:1066896920921450. Epub 2020 May 10.

Columbia Asia Referral Hospital, Bangalore, Karnataka, India.

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http://dx.doi.org/10.1177/1066896920921450DOI Listing

Martius labial fat pad graft (use in rectovaginal fistula repair).

Int Urogynecol J 2020 May 6. Epub 2020 May 6.

Division of Gynecologic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Introduction And Hypothesis: The objective is to demonstrate the utility of the Martius labial fat pad graft in pelvic fistula repair.

Methods: An incision is made over the labium majus from the level of the clitoral hood superiorly and extending inferiorly to the level of the labiocrural fold. The fibrofatty graft is then mobilized from the adjacent labium majus. Read More

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http://dx.doi.org/10.1007/s00192-020-04315-3DOI Listing

Risk of Postoperative Stenosis after Segmental Resection versus Disk Excision for Deep Endometriosis Infiltrating the Rectosigmoid: A Retrospective Study.

J Minim Invasive Gynecol 2020 Apr 30. Epub 2020 Apr 30.

Endometriosis Center, Clinique Tivoli-Ducos, Bordeaux (Dr. Roman), France; Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark (Dr. Roman).. Electronic address:

Study Objective: To assess the prevalence, risk factors, and management of bowel stenosis after surgery for deep infiltrating endometriosis of the rectosigmoid using either disk excision (DE) or segmental resection (SR).

Design: Retrospective study using data from consecutive cases recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis database.

Setting: University tertiary referral center. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.034DOI Listing

Treatment of rectovaginal fistula with a homemade device.

Asian J Surg 2020 Apr 20. Epub 2020 Apr 20.

Department of Genery Surgery, 900th Hospital of the Joint Logistics Team, 156 North Xi-er Huan Road, Fuzhou, Fujian, China. Electronic address:

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http://dx.doi.org/10.1016/j.asjsur.2020.03.008DOI Listing

The rectus abdominus myoperitoneal flap for vaginal reconstruction.

Gynecol Oncol Rep 2020 May 3;32:100567. Epub 2020 Apr 3.

Division of Gynecologic Oncology, University of Toronto, Odette Cancer Centre, Toronto, Canada.

To review the indications, technique and results of the rectus abdominis myoperitoneal (RAMP) flap for vaginal reconstruction from literature and at a single institution. A literature search was conducted of vaginal reconstruction to identify published cases using RAMP flaps. All cases of vaginal reconstruction at Sunnybrook Health Sciences Center (SHSC) from 2007 to 2019 were reviewed. Read More

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http://dx.doi.org/10.1016/j.gore.2020.100567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149400PMC

Incidence and Risk Factors for Postoperative Complications of Rectovaginal Fistula Repairs, Based on Different Surgical Routes.

Female Pelvic Med Reconstr Surg 2020 Apr 9. Epub 2020 Apr 9.

Icahn School of Medicine at Mount Sinai, New York, NY.

Objective: To investigate incidence and risk factors for postoperative complications after rectovaginal fistula (RVF) repairs, based on different surgical routes.

Methods: This retrospective cohort study utilized CPT codes to identify RVF repairs performed during 2005 to 2017 from the American College of Surgeons National Surgical Quality Improvement Program database. Demographic/clinical characteristics were compared among different surgical routes. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000820DOI Listing

Analysis of Associated Anomalies in Anorectal Malformation: Major and Minor Anomalies.

J Korean Med Sci 2020 Apr 13;35(14):e98. Epub 2020 Apr 13.

Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.

Background: Fifty to sixty percent of patients with anorectal malformation (ARM) have at least one associated anomaly (AA). We determined the incidence of AA with the subtypes of ARM classified in accordance with the Krickenbeck classification and analyzed differences in the incidence rates of major and minor AAs according to organ system.

Methods: From January 1999 to May 2017, we retrospectively analyzed congenital anomalies in patients who underwent an anoplasty for ARM at our institution. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e98DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152527PMC

Redo Repair of a Recurrent Rectovaginal Fistula With Rectal Advancement Flap: Three-Layer Closure.

Dis Colon Rectum 2020 Jul;63(7):1000

Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois.

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http://dx.doi.org/10.1097/DCR.0000000000001694DOI Listing

Anorectal malformation with didelphys uterus: Extremely rare anomaly and successful neoanal sphincter reconstruction with gracilis muscle flap.

Arch Plast Surg 2020 May 10;47(3):272-276. Epub 2020 Apr 10.

Division of Colorectal Surgery, Department of Surgery, Phramongkutklao Hospital, Phramongkutklao College of Medicine, Bangkok, Thailand.

Anorectal malformation or imperforate anus is a congenital anomaly of rectum and anus. Mullerian duct anomalies are abnormal development of uterus, cervix, and vagina. Imperforate anus with double uterus is extremely rare and cannot explain by normal embryologic development. Read More

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http://dx.doi.org/10.5999/aps.2019.01032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264905PMC

Redo gracilis interposition for complex perineal fistulas.

Tech Coloproctol 2020 05 25;24(5):475-478. Epub 2020 Mar 25.

Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.

Background: Rectovaginal, pouch-vaginal, and recto-urethral fistulas are very challenging to treat. Gracilis muscle interposition was shown be an effective treatment for these complex fistulas. The aim of this study was to investigate the feasibility and outcomes of redo gracilis interposition for persistent and recurrent complex perineal fistulas. Read More

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http://dx.doi.org/10.1007/s10151-020-02185-xDOI Listing

Preoperative evaluation of persistent cloaca using contrast-enhanced ultrasound in an infant.

Med Ultrason 2020 May 15;22(2):250-252. Epub 2019 Aug 15.

Department of Radiology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.

Persistent cloaca (PC) is the most intricate anorectal malformation. Contrast-enhanced ultrasound (CEUS) is safe for hepatic, renal, splenic, vascular, and intracavitary assessment in children, but it is little applied for cloacal malformation. Our results demonstrate that CEUS can not only display the uterine, vagina, bladder, urethra, rectum, and rectovaginal fistula, but also measure the length of the common channel, bladder neck to the common channel, and distal urethra to the perineum. Read More

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http://dx.doi.org/10.11152/mu-2039DOI Listing

TAMIS repair of rectovaginal fistula.

Tech Coloproctol 2020 07 14;24(7):765-766. Epub 2020 Mar 14.

Division of General Surgery, Department of Surgery, Health Sciences North, Sudbury, ON, Canada.

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http://dx.doi.org/10.1007/s10151-020-02182-0DOI Listing

[A Case of Rectovaginal Fistula after Rectal Cancer Surgery Cured with Estriol Vaginal Tablet and Vaginal Lavage].

Gan To Kagaku Ryoho 2019 Dec;46(13):2078-2080

Dept. of Gastrointestinal Tract Surgery, Fukushima Medical University.

Although rectovaginal fistula is a rare complication of rectal cancer surgery, it is usually difficult to cure with conservative treatment, and patients generally need surgical intervention. A woman in her 70s underwent laparoscopic low anterior resection with right lateral lymph node dissection for rectal cancer. On postoperative day(POD)6, she had an anastomotic leakage and received conservative treatment. Read More

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December 2019

Complex Obstetric Perineal Injury Reconstruction Using Antropyloric Valve Transposition.

Ann Coloproctol 2020 Feb 29;36(1):58-61. Epub 2020 Feb 29.

Department of Surgical Gastroenterology, King George's Medical University, Lucknow, India.

Despite significant advancements in the field of medicine, management of complex obstetric perineal injuries remains a challenge. Although several surgical techniques have been described, no techniques have provided satisfactory long-term results. Recently, a perineal transposed antropyloric valve has been used for anorectal reconstruction in patients with damaged or excised anal sphincters. Read More

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http://dx.doi.org/10.3393/ac.2018.08.21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069671PMC
February 2020

Accurate diagnosis and repair of obstetric anal sphincter injuries: why and how.

Am J Obstet Gynecol 2020 06 3;222(6):580.e1-580.e5. Epub 2020 Mar 3.

Urogynecology and Reconstructive Pelvic Surgery, OB/Gyn & Women's Health Institute, Cleveland Clinic, Cleveland, OH.

Obstetric anal sphincter injuries represent the minority of obstetric lacerations, but can have a significant long-term impact on urinary and fecal continence, as well as pelvic organ support. Accurate diagnosis of lacerations, appropriate repair, and close follow-up are essential to healthy healing and to improve outcomes for women. The infrequency of these injuries has resulted in a lack of familiarity with laceration repair and postpartum care of this population at all levels of practice. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.044DOI Listing

A Case of Low Rectovaginal Fistula of Obstetric Origin: Treatment by Fistulotomy and Reconstitution or Advancement Flap?

Front Surg 2020 18;7. Epub 2020 Feb 18.

Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.

Many small low rectovaginal fistulas represent incompletely healed (third degree) perineal lacerations i. e., involving the sphincters. Read More

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http://dx.doi.org/10.3389/fsurg.2020.00002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041408PMC
February 2020

Ganglion Impar Neurolysis in the Management of Pelvic and Perineal Cancer-Related Pain.

Case Rep Oncol 2020 Jan-Apr;13(1):29-34. Epub 2020 Jan 20.

Pain Unit, Hospital Prof. Dr. Fernando Fonseca, Lisbon, Portugal.

Cancer-related pain is a very prevalent problem in all stages, with 10% of patients requiring invasive techniques for adequate pain management. Ganglion impar neurolysis has been used in the treatment of pelvic-perineal pain with efficacy and rare complications, but only a few case or series reports in cancer patients have been published. We report the case of a patient presenting with an ovarian carcinoma (FIGO stage IIIC), who had several disease relapses at the colorectal transition and need for palliative colic prosthesis. Read More

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http://dx.doi.org/10.1159/000505181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036554PMC
January 2020

Rectovaginal fistula closure with micro-fragmented autologous adipose tissue injection.

Tech Coloproctol 2020 04 26;24(4):331-334. Epub 2020 Feb 26.

Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Via Paradisa 2, Pisa, Italy.

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http://dx.doi.org/10.1007/s10151-020-02176-yDOI Listing

Genital Reconstructive Surgery in Male to Female Transgender Patients: A Systematic Review of Primary Surgical Techniques, Complication Profiles, and Functional Outcomes from 1950 to Present Day.

Eur Urol Focus 2020 Feb 12. Epub 2020 Feb 12.

Department of Urology, Imperial College Healthcare NHS Trust, London, UK.

Context: Genital reconstructive surgery (GRS) is a necessary part of transitioning for many transwomen, and there is evidence of positive effects on a person's well-being and sexual function. Surgical techniques have evolved, from pursuing aesthetic outcome to now functional outcome with natal females as the standard.

Objective: To systematically review the evidence, identifying the surgical techniques used in primary GRS, their complications, functional outcomes, and the tools used to assess them. Read More

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http://dx.doi.org/10.1016/j.euf.2020.01.004DOI Listing
February 2020

Our commitment for a fistula-free Kenya.

Authors:
M Kenyatta

BJOG 2020 05 16;127(6):709. Epub 2020 Feb 16.

Government of Kenya, Nairobi, Kenya.

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http://dx.doi.org/10.1111/1471-0528.16112DOI Listing

Repair of a rectovaginal fistula using a robotic transanal minimally invasive surgical technique - a video vignette.

Colorectal Dis 2020 Jun 31;22(6):724-725. Epub 2020 Jan 31.

Colorectal Surgery Unit, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain.

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http://dx.doi.org/10.1111/codi.14965DOI Listing

The mobile surgical outreach program for management of patients with genital fistula in the Democratic Republic of Congo.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:27-32

Department of Urogynecology, Panzi General Referral Hospital, Bukavu, Democratic Republic of Congo.

Objective: To describe components of the mobile surgical outreach (MSO) program as a model of care delivery for women with genital fistula; present program results; and discuss operational strengths and challenges.

Methods: A retrospective observational study of routinely collected health data from women treated via the MSO program (2013-2018). The program was developed at Panzi Hospital in the Democratic Republic of Congo to meet the needs of women with fistula living in remote provinces, where travel is prohibited. Read More

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http://dx.doi.org/10.1002/ijgo.13036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003762PMC
January 2020

Addressing the fistula treatment gap and rising to the 2030 challenge.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:9-15

Fistula Surgery Training Initiative, FIGO (International Federation of Gynecology and Obstetrics), London, UK.

Obstetric fistula is a neglected public health and human rights issue. It occurs almost exclusively in low-resource regions, resulting in permanent urinary and/or fecal incontinence. Although the exact prevalence remains unknown, it starkly outweighs the limited pool of skilled fistula surgeons needed to repair this childbirth injury. Read More

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http://dx.doi.org/10.1002/ijgo.13033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004198PMC
January 2020

Management of Complicated Ostomy Dehiscence: A Case Study.

J Wound Ostomy Continence Nurs 2020 Jan/Feb;47(1):72-74

Ismail Ahmet Bilgin, MD, Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey. Mustafa Bas, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey; and Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey. Sehri Demir, BSN, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey. Eren Esen, MD, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey. Ebru Kirbiyik, BSN, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey. Afag Aghayeva, MD, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine Istanbul, Turkey. Volkan Ozben, MD, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey. Erman Aytac, MD, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey. Bilgi Baca, MD, Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey. Ismail Hamzaoglu, MD, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey. Tayfun Karahasanoglu, MD, Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.

Background: Stoma creation is a common procedure in colorectal surgery. Despite improved surgical techniques, ostomy-related wound complications may prolong the recovery period and impair health-related quality of life. Negative pressure wound therapy (NPWT), autolytic debridement agents, and silver dressings are often used for managing complex wound infection and dehiscence. Read More

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http://dx.doi.org/10.1097/WON.0000000000000611DOI Listing
January 2020

Functional outcome and quality of life evaluation of graciloplasty for the treatment of complex recto-vaginal and recto-urethral fistulas.

Updates Surg 2020 Mar 11;72(1):205-211. Epub 2020 Jan 11.

Department of Emergency and Organ Transplantation, University "Aldo Moro" of Bari, Bari, Italy.

Recto-vaginal (RVF) and recto-urethral (RUF) fistulas are infrequent but disabling conditions that severely affect patients' quality of life. Considering the high recurrence rate after conservative approaches, the best surgical treatment is still challenging. The aim of this study was to evaluate the outcome of graciloplasty to treat patients with complex RVF or RUF, and to investigate its effect on the quality of life. Read More

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http://dx.doi.org/10.1007/s13304-020-00704-xDOI Listing

Refining Approaches to Surgical Repair of Rectovaginal Fistulas.

Ann Plast Surg 2020 May;84(5S Suppl 4):S250-S256

From the Division of Plastic Surgery.

Introduction: Rectovaginal fistulas are notorious for both their morbidity and their difficulty to treat effectively. A variety of methods for repair has been described; however, there is no consensus on the ideal repair. A better understanding of the anatomical relationship of fistulas to the anal sphincter and detrusor muscles is one of the components necessary to develop an effective treatment plan for repair and preservation of sphincter mechanics. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002207DOI Listing

Migration of cervical stent after cervico-vaginal canalization.

Authors:
Jia Kang Lan Zhu

Int Urogynecol J 2020 Jun 3;31(6):1281-1282. Epub 2020 Jan 3.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 Shuaifu Road, Dongcheng District, Beijing, 100730, China.

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http://dx.doi.org/10.1007/s00192-019-04207-1DOI Listing

[Procedure for prolapse and hemorrhoids versus stapled transanal rectal resection in the treatment of grade IV hemorrhoids].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Dec;22(12):1165-1169

Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China.

To compare the efficacy and safety of two procedures in the treatment of hemorrhoid: the procedure for prolapse and hemorrhoids (PPH) and stapled transanal rectal resection (STARR). A retrospective cohort research was conducted. Clinical data of 263 patients undergoing the first elective surgery for grade IV hemorrhoids by the same team of surgeons at our department from January 2015 to December 2016 were analyzed retrospectively, while those had other anorectal diseases, emergency surgery, inflammatory bowel disease, tumor and incomplete clinical data were excluded. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.12.012DOI Listing
December 2019

"I feel myself incomplete, and I am inferior to people": experiences of Sudanese women living with obstetric fistula in Khartoum, Sudan.

Reprod Health 2019 Dec 21;16(1):183. Epub 2019 Dec 21.

Institute of Health and Society, Department of Community Medicine and Global Health, University of Oslo, P.O. Box 1130 Blindern, 0318, Oslo, Norway.

Background: Obstetric fistula is among the most devastating maternal morbidities that occur as a result of prolonged, obstructed labor. Usually, the child dies in a large number of the cases. Moreover, some of the women become infertile while the majority suffer physical, psychosocial and economic challenges. Read More

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http://dx.doi.org/10.1186/s12978-019-0846-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925495PMC
December 2019

Delivery mode for prolonged, obstructed labour resulting in obstetric fistula: a retrospective review of 4396 women in East and Central Africa.

BJOG 2020 May 2;127(6):702-707. Epub 2020 Jan 2.

Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.

Objective: To evaluate the mode of delivery and stillbirth rates over time among women with obstetric fistula.

Design: Retrospective record review.

Setting: Tanzania, Uganda, Kenya, Malawi, Rwanda, Somalia, South Sudan, Zambia and Ethiopia. Read More

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http://dx.doi.org/10.1111/1471-0528.16047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187175PMC

Effect of laparoscopic versus abdominal radical hysterectomy on major surgical complications in women with stage IA-IIB cervical cancer in China, 2004-2015.

Gynecol Oncol 2020 01 2;156(1):115-123. Epub 2019 Dec 2.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. Electronic address:

Objectives: To report the trends in surgical approaches and compare the major surgical complication rates of laparoscopic and abdominal radical hysterectomy for cervical cancer.

Methods: From the major surgical complications of cervical cancer in China (MSCCCC) database, we obtained the demographic, clinical, treatment hospital and complication data of patients with cervical cancer who underwent radical hysterectomy from 2004 to 2015 at 37 hospitals. The patients were assigned to the laparoscopic and abdominal surgery groups. Read More

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http://dx.doi.org/10.1016/j.ygyno.2019.10.032DOI Listing
January 2020

Everolimus-associated cytomegalovirus colitis in a patient with metastasized breast cancer: a case report.

Breast Cancer 2020 Jul 26;27(4):776-779. Epub 2019 Nov 26.

Department of Colorectal Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

Purpose: Anti-cancer therapy put patients in an immunocompromised status. Reactivation of cytomegalovirus (CMV) in immunocompromised patient can cause a severe disease. Thus, we presented a case who had recurrent CMV colitis which complicate with rectovaginal fistula. Read More

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http://dx.doi.org/10.1007/s12282-019-01026-6DOI Listing

Prevesical peritoneum interposition to prevent risk of rectovaginal fistula after en bloc colorectal resection with hysterectomy for endometriosis: Results of a pilot study.

J Gynecol Obstet Hum Reprod 2020 Feb 21;49(2):101649. Epub 2019 Nov 21.

Department of Gynaecology and Obstetrics, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Faculté de Médecine Sorbonne Université, Institut Universitaire de Cancérologie (IUC), France; Centre CALG (Cancer Associé à La Grossesse), France; UMRS-938 4, Faculté de Médecine Sorbonne Université, France.

Objective: To evaluate the risk of rectovaginal fistula after en bloc hysterectomy and colorectal resection (H-CR) for endometriosis using prevesical peritoneum interposition.

Study Design: A retrospective study conducted at Tenon University Hospital, expert center in endometriosis, from June 2016 to June 2018. Patients undergoing H-CR with prevesical peritoneum interposition without protective defunctioning stoma were included. Read More

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http://dx.doi.org/10.1016/j.jogoh.2019.101649DOI Listing
February 2020

Minimally invasive treatment of mid-low rectovaginal fistula: a transanal endoscopic surgery study.

Surg Endosc 2019 Nov 14. Epub 2019 Nov 14.

Center for Difficult and Complicated Abdominal Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Yanchang Road 301, Shanghai, China.

Background: Treatment of rectovaginal fistulas (RVFs) is extremely difficult. No standard surgical procedure is accepted worldwide. The aim of this article was to evaluate a minimally invasive procedure for the repair of mid-low rectovaginal fistula. Read More

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http://dx.doi.org/10.1007/s00464-019-07174-2DOI Listing
November 2019
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Surgical repair of genital injuries after sexual abuse.

GMS Interdiscip Plast Reconstr Surg DGPW 2019 12;8:Doc14. Epub 2019 Sep 12.

University Hospital for Gynecology, Pius Hospital, Carl von Ossietzky University, Oldenburg, Germany.

Genital injuries occur in half of cases of sexual assault through digital or penile penetration as well as the use of objects. Women aged >45 years are more likely to have physical injury and anogenital lesions, transmission of STI and HIV. This review focuses on the evidence about surgical reconstruction of the pelvic floor anatomy of adolescents and adult women sexually assaulted during adolescence or adulthood. Read More

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http://dx.doi.org/10.3205/iprs000140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6838733PMC
September 2019

A Phase II Trial of Stereotactic Ablative Radiation Therapy as a Boost for Locally Advanced Cervical Cancer.

Int J Radiat Oncol Biol Phys 2020 03 5;106(3):464-471. Epub 2019 Nov 5.

Department of Radiation Oncology, University of Texas Southwestern Medical Center, Texas; Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Texas.

Purpose: Our purpose was to assess the feasibility, safety, and efficacy of stereotactic ablative radiation therapy (SAbR) as an alternative for intracavitary/interstitial brachytherapy boost for locally advanced cervical cancer (LACC) after initial chemoradiation.

Methods And Materials: A single arm institutional phase II study of SAbR as a boost for LACC was conducted. Eligible patients had LACC FIGO 2009 stage IB2-IVB, performance status 0 to 3, and one of the following: medically unfit or refused intracavitary or tumor extent required interstitial brachytherapy for coverage. Read More

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http://dx.doi.org/10.1016/j.ijrobp.2019.10.042DOI Listing
March 2020
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