Rectovaginal fistula: a new approach by stapled transanal rectal resection.
Many surgical procedures have been developed to repair rectovaginal fistulas even if no "procedure of choice" is reported. The authors report a case of relatively uncommon, complex, medium-high post-obstetric rectovaginal fistula without sphincteral lesions and treated with a novel tailored technique. Our innovative surgical management consisted of preparing the neck of the fistula inside the vagina and folding it into the rectum so as to enclose the fistula within two semicontinuous sutures (stapled transanal rectal resection); no fecal diversion was performed. Postoperative follow-up at 9 months showed no recurrence of the fistula.
Li Destri
Giovanni
G
Department of Surgical Sciences, Organ Transplantation, Advanced Technologies, University of Catania, Via Guicciardini 6, 95030, Sant'Agata Li Battiati, Catania, Italy. g.lidestri@unict.it
Scilletta
Beniamino
B
Tomaselli
Tiziana Grazia
TG
Zarbo
Giuseppe
G
D000328:Adult; D036861:Delivery, Obstetric / Q000009:adverse effects; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D017792:Surgical Stapling; D013536:Suture Techniques