2,026 results match your criteria Rectovaginal Fistula


A Review of Deep Infiltrative Colorectal Endometriosis Treated Robotically at a Single Institution.

Int J Med Robot 2019 Apr 24:e2001. Epub 2019 Apr 24.

Department of General Surgery and Colorectal Surgery at the George Washington University Hospital, Washington, DC.

Purpose/background: Using robotic surgery, we report successful resection of deep invasive pelvic endometriosis with a multidisciplinary team of colorectal and gynecologic surgeons.

Methods/interventions: Fifteen cases of robotic assisted endometrial resections for deep invasive endometriosis were performed by a multidisciplinary team between 2013 and 2016.

Results/outcomes: The average total operative time of robotic endometrial extirpation was 342 minutes and the average blood loss was 283 cc. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/rcs.2001DOI Listing

Neglected doughnut pessary in the uterine cavity.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-228415DOI Listing
April 2019
1 Read

Predictors of Obstetric Fistula Repair Outcomes in Lubango, Angola.

J Obstet Gynaecol Can 2019 Apr 12. Epub 2019 Apr 12.

Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA; Center for Surgery and Public Health,(,) Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Objective: Obstetric fistulas have a significant physical and social impact on many women in Angola. The majority of the population of this sub-Saharan African nation does not have access to high-quality obstetric care, and this is associated with a risk of prolonged labour and formation of obstetric fistulas. Fistulas are challenging to correct surgically and may require repeated operations. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S17012163193008
Publisher Site
http://dx.doi.org/10.1016/j.jogc.2019.01.025DOI Listing
April 2019
6 Reads

Short-term outcomes of the over-the-scope clip proctology system for rectovaginal fistula repair: a prospective study.

Tech Coloproctol 2019 Apr 1. Epub 2019 Apr 1.

Colorectal Unit, Department of Surgery, Michallon University Hospital, CS 10 217, 38 043, Grenoble cedex, France.

Background: The over-the-scope clip proctology system is rather new and information regarding its use for the closure of anorectal fistulas is scarce. No study has been designed to focus exclusively on its application in the treatment of rectovaginal fistulas. The aim of the study was to evaluate the feasibility, safety, and effectiveness of the clip for rectovaginal fistula repair. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10151-019-01948-5DOI Listing
April 2019
2 Reads

Khubchandani's procedure combined with stapled posterior rectal wall resection for rectocele.

World J Gastroenterol 2019 Mar;25(11):1421-1431

Department of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China.

Background: Obstructed defecation syndrome (ODS) is a widespread disease in the world. Rectocele is the most common cause of ODS in females. Multiple procedures have been performed to treat rectocele and no procedure has been accepted as the gold-standard procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3748/wjg.v25.i11.1421DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429338PMC
March 2019
2 Reads

Laparoscopic Low Anterior Resection with Two Planned Stapler Fires.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, Iwate Medical University School of Medicine, Iwate Japan.

Background: Anastomotic leakage during laparoscopic low anterior resection (Lap-LAR) for rectal cancer remains challenging for colorectal surgeons. Firing linear staplers multiple times has been reported as a risk factor for iatrogenic anastomotic leakage. Our institute usually performs rectal transection using 2 planned stapler fires followed by anastomosis with the double-stapling technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4293/JSLS.2018.00112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421681PMC
March 2019
1 Read

Long-term success of complex recurrent rectovaginal fistula repair.

J Surg Case Rep 2019 Mar 12;2019(3):rjz001. Epub 2019 Mar 12.

Department of Gastrointestinal Surgery, Monterrey Institute of Technology and Higher Education, Nuevo Leon, Mexico.

Rectovaginal fistulas (RVF) are the cause of major affliction to the affected patient and are a foremost challenge for the attending surgeon. Traditional techniques for treatment of RVF are quite extensive and particularly invasive. A more local procedure, with an acceptable success rate, would be the ideal first approach in treatment of this particular ailment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjz001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413373PMC
March 2019
2 Reads

Efficacy and Toxicity of IMRT-Based Simultaneous Integrated Boost for the Definitive Management of Positive Lymph Nodes in Patients with Cervical Cancer.

J Cancer 2019 29;10(5):1103-1109. Epub 2019 Jan 29.

Department of Radiation Oncology, Xijing Hospital. The Fourth Military Medical University, Xi'an, Shaanxi, 710032, China.

: The optimal radiotherapy regimen for treating metastatic lymphadenopathy in patients with locally advanced cervical cancer remains controversial. This study aimed to investigate the clinical outcomes, as well as associated toxicities, of intensity-modulated radiotherapy (IMRT) with a simultaneous integrated boost (SIB) for pelvic and para-aortic lymph nodes (LNs). : Between 2011 and 2015, 74 patients with 2014 International Federation of Gynecology and Obstetrics stage IIB-IVB cervical cancer exhibiting pelvic or para-aortic LN involvement were examined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7150/jca.29301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400667PMC
January 2019
2 Reads
2.639 Impact Factor

Trends in Surgical Exposure and Experience in Female Pelvic Medicine and Reconstructive Surgery Fellowship Programs.

Female Pelvic Med Reconstr Surg 2019 Feb 28. Epub 2019 Feb 28.

From the Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.

Objectives: This study aimed to characterize variations in female pelvic medicine and reconstructive surgery (FPMRS) fellows' surgical experiences, concurrence with Accreditation Council for Graduate Medical Education (ACGME) proposed procedural volume guidelines, and to explore how these factors affect self-assessed preparedness to practice independently upon graduation.

Methods: An electronic survey was sent to 166 fellows enrolled in ACGME-approved FPMRS fellowship programs during the 2017-2018 academic year. The survey included questions on demographics, program specifics, desires for future practice, case volume, and self-assessed ability to independently perform selected procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SPV.0000000000000709DOI Listing
February 2019
7 Reads

Choosing the right technique for deep endometriosis.

Best Pract Res Clin Obstet Gynaecol 2019 Jan 29. Epub 2019 Jan 29.

Department of Obstetrics and Gynecology, Hospital CHR Liège, University of Liège, Boulevard du 12eme de Ligne,1, 4000, Liège, Belgium. Electronic address:

The surgical management of bowel endometriosis is a real challenge. In addition to the fact that only symptomatic patients should undergo surgery, no consensus has been approved in the literature. Among the surgical techniques, the surgeon has to choose between rectal shaving, disc excision, or segmental colorectal resection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bpobgyn.2019.01.010DOI Listing
January 2019
1 Read

[Rectovaginal fistula prevention after enbloc colorectal resection and hysterectomy for deep endometriosis].

Gynecol Obstet Fertil Senol 2019 04 16;47(4):378-380. Epub 2019 Feb 16.

Department of Gynecology and Obstetrics, Tenon University Hospital, Assistance publique-des Hôpitaux de Paris (AP-HP), Sorbonne University, 75000 Paris, France; Groupe de recherche clinique 6 (GRC6-UPMC), centre expert en endométriose (C3E), 75020 Paris, France; UMR_S938 Sorbonne University, 75000 Paris, France.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gofs.2019.01.009DOI Listing
April 2019
2 Reads

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

View Article

Download full-text PDF

Source
January 2019
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.25100/cm.v49i4.3515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342085PMC
December 2018
5 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5249087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323458PMC
December 2018
11 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 Apr;30(4):425-427

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CAD.0000000000000742DOI Listing
April 2019
6 Reads

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

Tech Coloproctol 2018 12 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

View Article

Download full-text PDF

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

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

Tech Coloproctol 2019 01 2;23(1):43-52. 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

View Article

Download full-text PDF

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

Persistent fecal incontinence into adulthood after repair of anorectal malformations.

Int J Colorectal Dis 2019 Mar 28;34(3):551-554. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00384-018-3220-6DOI Listing
March 2019
4 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

View Article

Download full-text PDF

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

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

Dis Colon Rectum 2019 02;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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DCR.0000000000001261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365260PMC
February 2019
4 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejogrb.2018.11.008DOI Listing
January 2019
17 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ecco-jcc/jjy195DOI Listing
November 2018
15 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

View Article

Download full-text PDF

Source
http://www.wjgnet.com/2307-8960/full/v6/i12/538.htm
Publisher Site
http://dx.doi.org/10.12998/wjcc.v6.i12.538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212606PMC
October 2018
15 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

View Article

Download full-text PDF

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

One-stage repair of anorectal malformations in females with vestibular fistula: a systematic review and meta-analysis.

Pediatr Surg Int 2019 Jan 30;35(1):77-85. Epub 2018 Oct 30.

Division of General and Thoracic Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

Purpose: Females with recto-vestibular fistula (RVF) can be managed either by one-stage sagittal anorectoplasty (SARP) or by conventional multi-stage approach with colostomy followed by SARP. Our aim was to define which approach, one-stage or multi-stage, is safer and more beneficial.

Methods: Using a defined search strategy, two investigators identified all comparative studies on the mentioned procedures. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00383-018-4378-2
Publisher Site
http://dx.doi.org/10.1007/s00383-018-4378-2DOI Listing
January 2019
4 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/tmi.13178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324987PMC
January 2019
27 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpag.2018.10.002DOI Listing
February 2019
23 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.

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/ans.14900
Publisher Site
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

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/pdf/10.1002/jmri.26248
Web Search
http://doi.wiley.com/10.1002/jmri.26248
Publisher Site
http://dx.doi.org/10.1002/jmri.26248DOI Listing
November 2018
12 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ibd/izy329DOI Listing
October 2018
3 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

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/13625187.2018.1
Publisher Site
http://dx.doi.org/10.1080/13625187.2018.1517409DOI Listing
October 2018
21 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

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/nau.23851
Publisher Site
http://dx.doi.org/10.1002/nau.23851DOI Listing
January 2019
4 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

View Article

Download full-text PDF

Source
https://www.liebertpub.com/doi/10.1089/lap.2018.0330
Publisher Site
http://dx.doi.org/10.1089/lap.2018.0330DOI Listing
October 2018
5 Reads

Estimating the cost and cost-effectiveness for obstetric fistula repair in hospitals in Uganda: a low income country.

Health Policy Plan 2018 Nov;33(9):999-1008

Department of Health Economics and Outcomes Research, Regeneron Pharmaceuticals, Tarrytown, NY, USA.

In Africa, about 33 000 cases of obstetric fistula occur each year. Women with fistula experience debilitating incontinence of urine and/or faeces and are often socially ostracized. Worldwide, Uganda ranks third among countries with the highest burden of obstetric fistula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/heapol/czy078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263022PMC
November 2018
9 Reads
3.470 Impact Factor

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

View Article

Download full-text PDF

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

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

Surg Innov 2019 Feb 10;26(1):66-71. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1553350618799452DOI Listing
February 2019
25 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

View Article

Download full-text PDF

Source
December 2018
1 Read

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/jiaps.JIAPS_140_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6042176PMC
July 2018
8 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1553350618785486DOI Listing
October 2018
33 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s13304-018-0558-9DOI Listing
December 2018
16 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

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00223468183037
Publisher Site
http://dx.doi.org/10.1016/j.jpedsurg.2018.05.022DOI Listing
November 2018
10 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

View Article

Download full-text PDF

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

Consequences of obstetric fistula in sub Sahara African countries, from patients' perspective: a systematic review of qualitative studies.

BMC Womens Health 2018 06 20;18(1):106. Epub 2018 Jun 20.

Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Women with fistula live in a state of distress and in fear of their future life. An obstetric fistula has a devastating impact on affected women and their families. The objective of this systematic review was to synthesize the evidence from published articles on the consequences of obstetric fistula on women who endure the condition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12905-018-0605-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011512PMC
June 2018
38 Reads
1.657 Impact Factor

Is it correct to perform omentoplasty to repair rectovaginal fistulas in oncological patients?

Authors:
Antonio Macrì

Tech Coloproctol 2018 07 7;22(7):563. Epub 2018 Jun 7.

Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Via Consolare Valeria, 98125, Messina, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10151-018-1792-3DOI Listing

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/5298214DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960505PMC
May 2018
4 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/humrep/dey104DOI Listing
July 2018
5 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/jcm7040087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5920461PMC
April 2018
15 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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

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