title: The trans-sphincteric posterior sagittal repair of recto-urinary and recto-vaginal fistulae using Surgisis™ mesh and fibrin sealant.
abstract: Recto-urinary, recto-vaginal and ileo-anal pouch-associated fistulae are rare yet a significant clinical problem due to their profound impact on patients' quality of life and are a challenge to repair. In this report, we describe repair of these complex fistulae using a modified trans-sphincteric posterior sagittal approach with Surgisis™ mesh and fibrin sealant and review our repair outcomes.
authors.affiliation: Department of Surgery, 2C3.62 WMC, University of Alberta Hospital, 8440-112 Street, Edmonton, AB, T6G 2B7, Canada, amb1@ualberta.ca.
authors.forename: A M
authors.initials: AM
authors.lastname: Borowiec
authors.forename: M
authors.initials: M
authors.lastname: McCall
authors.forename: G M
authors.initials: GM
authors.lastname: Lees
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D016063:Blood Loss, Surgical; D039021:Colonic Pouches / Q000009:adverse effects*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D061646:Operative Time; D012003:Rectal Fistula / Q000601:surgery; D012006:Rectovaginal Fistula / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013526:Surgical Mesh; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014548:Urinary Fistula / Q000601:surgery*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives