[Surgical treatment of radiation-induced rectovaginal fistulas by the continence resection procedure].
The results of 24 operations for repairing rectovaginal fistulas secondary to irradiation for pelvic cancer are presented.--Treatment involved subtotal rectal and sigmoid colon resection with restoration of continuity by means of a peranal coloanal sleeve anastomosis between healthy colon and the rectal stump denuded of its mucosa.--The functional result in 20 of 24 patients who underwent this procedure was satisfactory to excellent, only 2 patients had partial rectal incontinence. 2 of these patients (8.3%) died from a heart attack or renal insufficiency respectively. No death occurred from anastomotic leakage.
D000368:Aged; D001003:Anal Canal / Q000601:surgery; D005242:Fecal Incontinence / Q000517:prevention & control; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011832:Radiation Injuries / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000601:surgery*; D012007:Rectum / Q000528:radiation effects*; D013536:Suture Techniques; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy*; D014594:Uterine Neoplasms / Q000532:radiotherapy*; D014621:Vagina / Q000528:radiation effects*
Chirurgische Behandlung der strahlenbedingten Rektovaginalfisteln durch Kontinenzresektionsverfahren.