title: Rectovaginal fistula after gastrointestinal tract continuity restoration using a stapler--case report.
abstract: The authors presented a case of rectovaginal fistula in a 40-year old female patient after gastrointestinal tract continuity restoration (Hartmann's operation) performed because of iatrogenic rectal damage. The most likely cause of rectovaginal fistula development was the erroneous introduction of the stapler into the vagina and sigmoidovaginostomy during an attempt to reconstruct the continuity of the gastrointestinal tract. In order to reconstruct the continuity of the gastrointestinal tract the patient was subject to anterior rectal resection, sigmoidorectostomy, and closure of the fistula inside the vaginal wall by its duplication. Additionally, a double protective ileostomy was performed, which was subject to closure after three months.
authors.affiliation: Department of General and Gastrointestinal Surgery, Pomeranian Traumatology Centre, Gdańsk.
authors.forename: Joanna
authors.initials: J
authors.lastname: Welanyk
authors.forename: Tomasz
authors.initials: T
authors.lastname: Wysocki
authors.forename: Wiesław
authors.initials: W
authors.lastname: Nowobilski
authors.forename: Marek
authors.initials: M
authors.lastname: Dobosz
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D010048:Ovarian Cysts / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012006:Rectovaginal Fistula / Q000209:etiology* / Q000601:surgery*; D017792:Surgical Stapling / Q000009:adverse effects*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery