A method of treating post-irradiation rectovaginal fistulas.
A sphincter-saving operative method of treating post-irradiation rectovaginal fistulas is presented. The technique involves the peranal anastomosis of healthy colon to the mid-anal canal using a 'sleeve' anastomosis. Four patients have been treated with cure of the fistula and a return to normal bowel habit. A fifth, with an irradiation ulcer causing intractable pain, also obtained complete relief of symptoms.
D000368:Aged; D003106:Colon / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011878:Radiotherapy / Q000009:adverse effects*; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D013997:Time Factors