Interposition of fallopian salpinges in the treatment of sigmoidovaginal fistula, secondary to vaginal hysterectomy with failure of previous repair.
A 50-year-old woman, para 4, suffering from uterine fibromatosis and recurrent menometrorrhagia, underwent vaginal hysterectomy with preservation of salpinges. About 15 days after surgery, hydrosoluble contrast enema showed sigmoidovaginal fistula; after about two months there was failure of surgery repair by the rectal endoscopic technique. A month later, we performed repair surgery by the abdominal approach interposing fallopian salpinges between the sigmoid and the vagina. About two months later, a enema showed absence of fistula and today the women is free from disease.
Dessole
S
S
Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari, Italy.
Capobianco
G
G
Noya
G
G
Meloni
G B
GB
D012809:Colon, Sigmoid; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D003287:Contrast Media; D004733:Enema; D005187:Fallopian Tubes; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D008875:Middle Aged; D012086:Reoperation; D017211:Treatment Failure; D014623:Vaginal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
D003287:Contrast Media