2,281 results match your criteria Rectovaginal Fistula


Safe multidisciplinary approach in deeply infiltrating endometriosis (DIE): is it feasible?

JBRA Assist Reprod 2014 Dec 27;18(4):139-143. Epub 2014 Dec 27.

Department of Obstetrics and Gynecology, Federal University of Minas Gerais (UFMG) - Belo Horizonte/MG - Brazil.

Objective: Evaluate the type and incidence of postoperative complications after surgery for deep infiltrative endometriosis at Biocor Hospital.

Methods: Our observational study involved a multidisciplinary surgical team that performed laparoscopy on 154 patients suffering from pelvic pain. Surgical complications occurring up to the 30th postoperative day were recorded. Read More

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December 2014

Different segmental resection techniques and postoperative complications in patients with colorectal endometriosis: A systematic review.

Acta Obstet Gynecol Scand 2022 Jul 6;101(7):705-718. Epub 2022 Jun 6.

European Endometriosis League, Bordeaux, France.

Introduction: The aim of this study was to analyze the available literature by conducting a systematic review to assess the possible effects of nerve-sparing segmental resection and conventional bowel resection on postoperative complications for the treatment of colorectal endometriosis.

Material And Methods: Pubmed, Clinical Trials.gov, Cochrane Library, and Web of Science were comprehensively searched from 1997 to 2021 in order to perform a systematic review. Read More

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Ano-rectovaginal fistula after obstetrical anal sphincter injury: Diverting stoma does not improve the surgical results.

Colorectal Dis 2022 Jun 3. Epub 2022 Jun 3.

Department of Biostatistics. La Maison de la Recherche, University Hospital of Angers, Angers Cedex 9, France.

Aim: Ano-rectovaginal fistulas (ARVF) are challenging for the surgeon. Most of the series mix aetiologies, leading to confusion with respect to the conclusion. The aim of this study was to assess the factors associated with the success of ARVF management following obstetrical anal sphincter injury (OASIS). Read More

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Surgery in platinum-resistant recurrent epithelial ovarian carcinoma.

World J Clin Cases 2022 Apr;10(12):3739-3753

Department of Gynecology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou 310014, Zhejiang Province, China.

Background: Ovarian cancer is one of the three most common malignant tumors of the female reproductive tract and ranks first in terms of mortality among gynecological tumors. Epithelial ovarian carcinoma (EOC) is the most common ovarian malignancy, accounting for 90% of all primary ovarian tumors. The clinical value of cytoreductive surgery in patients with platinum-resistant recurrent EOC remains largely unclear. Read More

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Pretreatment colostomy in patients with anal squamous cell carcinoma: Risk factors for a permanent stoma.

J Surg Oncol 2022 May 31. Epub 2022 May 31.

Divisão de Cirurgia Colorretal, Departamento de Gastroenterologia, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.

Background: The current standard of care for anal squamous cell carcinoma (SCC) is concurrent chemoradiation (CRT), which enables tumor eradication while preserving the anal sphincter. Patients with locally advanced tumors, however, may experience complications that preclude treatment before stoma creation.

Objective: To evaluate the reversal rate of pretreatment stomas and the risk factors associated with nonreversal. Read More

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Modified Martius graft - a renaissance of surgical procedure.

Bratisl Lek Listy 2022 ;123(6):389-394

Aim: The rectovaginal fistula (RVF) is relatively uncommon and by clinical manifestations grave illness. The surgery treatment of RVF is extremely demanding and represents the subject of frustration for many surgeons. Miscellaneous etiology of RVF and various heights of fistula in a rectovaginal septum are crucial for the choice of surgical procedure. Read More

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A Novel Patient-like Swine Model of Perianal Crohn's Disease.

Dis Colon Rectum 2022 Apr 25. Epub 2022 Apr 25.

Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland.

Background: Perianal Crohn's Disease is associated with poor outcomes and high medical costs. It is notoriously difficult to treat despite therapeutic advancements for luminal disease. A large animal model that mimics human perianal disease is needed to test innovative therapies. Read More

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How to do a laparoscopic repair of a post-hysterectomy rectovaginal fistula?

ANZ J Surg 2022 Apr 29. Epub 2022 Apr 29.

Department of Surgical Gastroenterology and MIS, Sahasra Hospital, Bangalore, India.

The exact incidence of iatrogenic post-hysterectomy rectovaginal fistula is unknown. The overall surgical management for this group of patients is different from rectovaginal fistula in general. These are high fistula presenting with a diversion stoma in situ and are characterised well on a rectal contrast pelvic computed tomography (CT). Read More

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Buccal Mucosal Grafts as a Novel Treatment for the Repair of Rectovaginal Fistulas: Protocol for an Upcoming Prospective Single-Surgeon Case Series.

JMIR Res Protoc 2022 Apr 29;11(4):e31003. Epub 2022 Apr 29.

Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Background: Rectovaginal fistulas (RVFs) are abnormal communications between the rectum/anus and the vagina. They are most frequently formed a result of obstetric injury and have deleterious effects on patients' quality of life. Despite several treatment modalities, RVFs remain difficult problems to manage, and many patients fail multiple attempts at surgical repair. Read More

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Isolated recto-vaginal septum injury during parturition: Single-center experience.

Ulus Travma Acil Cerrahi Derg 2022 Mar;28(3):302-307

Department of Obstetrics and Gynecology, Sakarya University Faculty of Medicine, Sakarya-Turkey.

Background: Traumatic rectal injuries are uncommon and can originate due to various causes. Rectal injuries have a high mor-bidity, regardless of cause, and detection at the time of occurrence is important to prevent fistula formation and/or stoma. In this article, treatment approaches in patients with isolated rectovaginal septum injury without perineal and sphincter injury during sponta-neous vaginal delivery are presented and the current literature is reviewed. Read More

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Evaluation of Short Term Outcome of Stapled Transanal Rectal Resection (STARR) for ODS (Obstructed Defecation Syndrome) by Comparing Pre and Post-operative ODS Score.

Mymensingh Med J 2022 Apr;31(2):355-359

Dr Md Touhidul Islam, Assistant Professor (Colorectal Surgery), Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Obstructed defecation syndrome (ODS) is a common anorectal problem and it can be corrected by various surgical approaches but most of these have high recurrence and complication rates. Antonio Longo introduced Stapled transanal rectal resection (STARR) in 2003 as a minimally invasive transanal operation for correction ODS associated with rectocele and or rectal intussusception. This study was designed to assess the short term outcome of Stapled Transanal Rectal Resection (STARR) as a surgical treatment of Obstructed Defecation Syndrome (ODS). Read More

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New Method for Genital Aesthetic Surgery: An Easy-To-Learn Two-Step Approach With Acellular Dermal Matrix (ADM).

Aesthet Surg J 2022 Mar 30. Epub 2022 Mar 30.

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

Background: Vaginal laxity, usually accompanied with prolapse symptoms, affects women's sexual satisfaction and quality of life. Vaginal tightening surgery aims to reinforce the peri-vaginal muscle strength and restore the normal vaginal anatomy.

Objectives: The objective of this study was to introduce a new surgical approach with vaginal tightening using acellular dermal matrix (ADM). Read More

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; Rare and Accidental Finding in the Urine of Pregnant Woman: Case Report.

Int Med Case Rep J 2022 22;15:105-109. Epub 2022 Mar 22.

Department of Pharmacy, Bahir Dar University, Bahir Dar, Ethiopia.

Background: is a ciliated protozoan parasite, which causes intestinal and extraintestinal infections in humans. It is transmitted feco-orally by ingesting infective cysts with food and water. Urinary balantidiasis may occur through contamination (direct spread from the anal area), secondarily to rectovaginal fistula and following immune suppression. Read More

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Postoperative rectovaginal fistula: Can colonic pull-through delayed coloanal anastomosis avoid the need for definitive stoma? An experience of 28 consecutives cases.

Colorectal Dis 2022 Mar 24. Epub 2022 Mar 24.

Department of Colorectal Surgery, Pôle des Maladies de l'Appareil Digestif (PMAD), Beaujon Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), University of Paris, Clichy, France.

Aim: Management of rectovaginal fistula (RVF) remains a challenge, especially in cases of postoperative RVF as they are often large and surrounded by inflammatory and fibrotic tissue, making local repair difficult or even impossible. In this situation, colonic pull-through delayed coloanal anastomosis (DCAA) could be an interesting option. The aim of this study was to assess the results of DCAA for RVF observed after rectal surgery. Read More

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Outcomes of Modified Tissue Selection Therapy Stapler in the Treatment of Prolapsing Hemorrhoids.

Front Surg 2022 3;9:838742. Epub 2022 Mar 3.

The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Objective: Tissue selection therapy staplers (TSTs) are widely used to treat prolapsing hemorrhoids; however, some disadvantages exist. We describe a modified technique for the treatment of prolapsing hemorrhoids, with the aim of minimizing the risk of anal stenosis and anal incontinence and reducing the impact of postoperative complications from the stapling technique. We applied a modified TST procedure, and the preliminary data were used to test the efficacy and safety of this new technique. Read More

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Management of rectovaginal fistula: surgery is not always necessary.

Tech Coloproctol 2022 Jun 17;26(6):513-514. Epub 2022 Mar 17.

Colorectal Unit, Department of Surgery, Grenoble Alps University Hospital, CS 10217, 38043, Grenoble cedex, France.

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Robotic-assisted vesicovaginal fistula repair using a vaginal cuff flap.

Int Urogynecol J 2022 Mar 12. Epub 2022 Mar 12.

The Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA, 90089-9178, USA.

Introduction And Hypothesis: Vesicovaginal fistula (VVF) is an abnormal communication between the bladder and the vagina. Complex fistulae include those after failed repair attempts, radiotherapy, measuring ≥ 2 cm, located in the trigone, or with concomitant ureteric strictures or fistulae. We aimed to describe a technique for the robotic repair of a complex VVF using a vaginal cuff flap. Read More

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The Management of Perineal Trauma in Children.

J Indian Assoc Pediatr Surg 2022 Jan-Feb;27(1):65-70. Epub 2022 Jan 11.

Department of Pediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Aims: This study aimed to evaluate the outcome of perineal trauma in children and to a define protocol for their management.

Methods: It is a retrospective study of children who presented with perineal injury between August 2012 and December 2020. The patients were classified into three groups: Group-1 included children with perineal and genitourinary injuries; Group-2 included patients with perineal and anorectal injuries; and Group-3 included patients with perineal, genitourinary, and anorectal injuries. Read More

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January 2022

Short-term outcomes in patients undergoing laparoscopic surgery for deep infiltrative endometriosis with rectal involvement: a single-center experience of 168 cases.

Ann Coloproctol 2022 Mar 7. Epub 2022 Mar 7.

Department of General Surgery, La Paz University Hospital, Madrid, Spain.

Purpose: The surgical management of deep infiltrative endometriosis (DE) involving the rectum remains a challenge. The objective of this study was to assess the outcomes from a single tertiary center over a decade with an emphasis on the role of a protective loop ileostomy (PI).

Methods: A retrospective review of outcomes for 168 patients managed between 2008 and 2018 is presented including 57 rectal shaves, 23 discoid excisions, and 88 segmental rectal resections. Read More

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Morbidity of diverting stoma during colorectal surgery for deep infiltrating endometriosis - an observational study.

J Gynecol Obstet Hum Reprod 2022 Apr 26;51(4):102347. Epub 2022 Feb 26.

Department of General and Digestive Surgery, Timone University Hospital, Aix Marseille University APHM, 264 rue Saint-Pierre, Marseille, France.

Purpose: To evaluate stoma-related complications after rectal resection and colorectal anastomosis with diverting stoma for deep infiltrating colorectal endometriosis.

Methods: All the consecutive adult women who underwent colorectal resection with low anastomosis and diverting stoma for deep infiltrating endometriosis in one center between 2013 and 2020 were retrospectively included. Stoma-related complications were retrieved during the stoma period and after stoma reversal. Read More

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Objective Perfusion Assessment in Gracilis Muscle Interposition-A Novel Software-Based Approach to Indocyanine Green Derived Near-Infrared Fluorescence in Reconstructive Surgery.

Life (Basel) 2022 Feb 13;12(2). Epub 2022 Feb 13.

Department of General and Visceral Surgery, Hindenburgdamm 30, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 12203 Berlin, Germany.

Background: Gracilis muscle interposition (GMI) is an established treatment option for complex perineal fistulas and reconstruction. The outcome is limited by complications such as necrosis, impaired wound healing and fistula persistence or recurrence. Quantifiable methods of assessing muscle flap perfusion intraoperatively are lacking. Read More

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February 2022

Hyperbaric oxygen therapy for the treatment of perianal fistulas in 20 patients with Crohn's disease: Results of the HOT-TOPIC trial after 1-year follow-up.

United European Gastroenterol J 2022 03 10;10(2):160-168. Epub 2022 Feb 10.

Department of Anaesthesiology/Hyperbaric Medicine, Amsterdam UMC, Location AMC, Amsterdam, The Netherlands.

Background: Previously published short-term results (week 16) of this trial showed a significant improvement in clinical, radiologic and biochemical outcomes in Crohn's disease patients with therapy-refractory perianal fistulas after treatment with hyperbaric oxygen therapy.

Objective: To assess the long-term (week 60) efficacy, safety and feasibility of hyperbaric oxygen therapy in perianal fistula in Crohn's disease.

Methods: Crohn's disease patients with high perianal fistula(s) failing conventional treatment >6 months were included. Read More

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Combined transabdominal-transanal surgical approach for iatrogenic rectovaginal fistula: two case reports.

Authors:
P Wang W Tong Q Wang

Ann R Coll Surg Engl 2022 Feb;104(2):50-53

First Hospital of Jilin University, China.

Rectovaginal fistula (RVF) is a type of anastomotic leakage that may occur after low anterior resection for rectal cancer. The repair of RVF can be challenging because of the scar tissue stenosis and incomplete obstruction. Two patients presented in our department with vaginal faecal discharge almost 7 months after the radical resection of rectal cancer. Read More

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February 2022

Feasibility and safety of transvaginal specimen extraction in deep endometriosis colorectal resectional surgery and analysis of risk factors for postoperative complications.

Tech Coloproctol 2022 Apr 29;26(4):261-270. Epub 2022 Jan 29.

Department of Obstetrics and Gynecology, "La Paz" University Hospital, Madrid, Spain.

Background: The aim of the present study was to demonstrate that transvaginal specimen extraction is a feasible and safe approach in colorectal resection for deep endometriosis (DE) and to assess the risk factors for postoperative complications.

Methods: This retrospective cohort study included all the consecutive patients undergoing segmental bowel resection for symptomatic endometriosis at "La Paz" University Hospital (Madrid, Spain) and at "Hospital General Universitario de Valencia" (Valencia, Spain) from January 2014 to December to 2017. Patients were grouped according to specimen extraction approach into those who had transvaginal extraction (Group I) and those who had suprapubic extraction (Group II). Read More

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A systematic review of the patient burden of Crohn's disease-related rectovaginal and anovaginal fistulas.

BMC Gastroenterol 2022 Jan 28;22(1):36. Epub 2022 Jan 28.

CERobs Consultancy LLC, Wrightsville Beach, NC, 27480, USA.

Background: Crohn's disease (CD)-related rectovaginal fistulas (RVFs) and anovaginal fistulas (AVFs) are rare, debilitating conditions that present a substantial disease and treatment burden for women. This systematic literature review (SLR) assessed the burden of Crohn's-related RVF and AVF, summarizing evidence from observational studies and highlighting knowledge gaps.

Methods: This SLR identified articles in PubMed and Embase that provide data and insight into the patient experience and disease burden of Crohn's-related RVF and AVF. Read More

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January 2022

Transvaginal excision of a rectovaginal septum GIST: a minimally invasive and safe surgical approach.

Tech Coloproctol 2022 Apr 27;26(4):315-318. Epub 2022 Jan 27.

Unit of Surgery, National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Italy.

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Incidence and Treatment Outcomes of Rectovaginal Fistula After Rectal Cancer Resection.

Female Pelvic Med Reconstr Surg 2022 02;28(2):115-120

From the Departments of Colorectal Surgical Oncology.

Objectives: Rectovaginal fistulas (RVFs) are an uncommon and disturbing complication with limited success in treatment. This study was aimed at determining the incidence of RVFs after rectal resections in the era of neoadjuvant radiation therapy and the outcomes of their treatment.

Methods: This was a retrospective study of female patients who underwent sphincter-preserving total mesorectal excision for rectal cancer and developed RVF. Read More

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February 2022

Rectovaginal Fistula in Crohn's Disease: When and How to Operate?

Clin Colon Rectal Surg 2022 Jan 17;35(1):10-20. Epub 2022 Jan 17.

Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

Rectovaginal fistula (RVF) occurring during the course of Crohn's disease (CD) constitutes a therapeutic challenge and is characterized by a high rate of recurrence. To optimize the outcome of CD-related RVF repair, the best conditions for correct healing should be obtained. Remission of CD should be achieved with no active proctitis, the perianal CD activity should be minimized, and local septic complications should be controlled. Read More

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January 2022