Abdominosacral repair for a rectovaginal fistula with anastomotic stenosis after low anterior resection report of a case.
The management of a postoperative rectovaginal fistula after low anterior resection for rectal cancer is difficult and requires reconstruction of the anastomotic site and fistula. The results of reconstructive operation are often unsatisfactory. Herein, we describe our reconstruction technique using the posterior approach through the vaginal lumen for a high rectovaginal fistula repair. This reconstructive operation is useful for postoperative rectovaginal fistulas accompanied by severe stenosis of the anastomotic site following low anterior resection for rectal cancer.
Okabe
S
S
First Department of Surgery, Faculty of Medicine, Tokyo Medical and Dental University, Japan.
Ishikawa
T
T
Tanami
S
S
Kuwabara
H
H
Hukahara
T
T
Udagawa
M
M
Ootsukasa
S
S
Arai
T
T
Maruyama
S
S
Murase
N
N
Yamashita
H
H
Iwai
T
T
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D013505:Digestive System Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D008643:Mesentery / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000209:etiology* / Q000601:surgery*; D012086:Reoperation; D013537:Sutures / Q000009:adverse effects; D014621:Vagina / Q000601:surgery