A nomogram for predicting rectovaginal fistula after low anterior resection for rectal cancer

Surgery Today ◽  
2020 ◽  
Vol 50 (10) ◽  
pp. 1206-1212
Author(s):  
Ming-Jin Huang ◽  
Dao-Xiong Ye ◽  
Yu Lin ◽  
Xing-Rong Lu ◽  
Hui-Ming Lin ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection

Ligation and interposition of a modified Martius graft for rectovaginal fistula repair after low anterior resection for rectal cancer - a video vignette

2017 ◽  
Vol 19 (11) ◽  
pp. 1037-1038
Author(s):  
N. Uribe ◽  
Z. Balciscueta ◽  
M. C. Martin ◽  
M. Lopez ◽  
J. Tabet ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Fistula Repair ◽  
Martius Graft ◽  
Video Vignette

scholarly journals Successful Laparoscopy-assisted Repair of a Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer: A Report of Two Cases

2020 ◽  
Author(s):  
Hiroyuki Ohta ◽  
Kyozo Hashimoto ◽  
Tomoyuki Mizukuro ◽  
Byonggu An ◽  
Yumi Zen ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Connective Tissue ◽  
Surgical Procedures ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Japanese Patients ◽  
Vaginal Repair ◽  
Diverting Stoma ◽  
Double Stapling

Abstract Background: A rectovaginal fistula (RVF) after low anterior resection for rectal cancer is troublesome and refractory. Although various surgical procedures have been previously described, no definitive procedure has shown satisfactory outcomes. We present two consecutive Japanese patients who underwent successful surgery for a RVF after low anterior resection. Case presentation: The patients were a 61-year-old woman and a 64-year-old woman. They were admitted to our hospital with a chief complaint of fecal discharge from the vagina after low anterior resection using the double-stapling technique for rectal cancer. They were diagnosed with RVF. Local surgical procedures, including diverting ileostomy, were unsuccessful in previous hospitals. Therefore, we performed laparoscopy-assisted repair of the RVF. In both the patients, laparoscopically robust pelvic adhesions were dissected, and the sigmoid colon was transected just before the RVF. Thereafter, in combination with a perineal approach, the rectum along with a previous anastomosis and fistula were completely removed. Surgeries were completed after vaginal repair, redo coloanal anastomosis, and interposition of the dissected connective tissue. In both the patients, the postoperative courses were uneventful. They have complained of neither recurrence of any RVF nor fecal incontinence 1 year and 10 months respectively after diverting stoma closure.Conclusions: A laparoscopy-assisted procedure with reanastomosis and interposition of the perineal connective tissue can be an effective treatment for an RVF after low anterior resection for rectal cancer.

scholarly journals Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer Using a Double Stapling Technique

2010 ◽  
Vol 4 (2) ◽  
pp. 224-228 ◽  
Author(s):  
Satoshi Yodonawa ◽  
Isao Ogawa ◽  
Susumu Yoshida ◽  
Hiromichi Ito ◽  
Keisuke Kobayashi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

scholarly journals Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment

2017 ◽  
Vol 41 ◽  
pp. 121-123 ◽  
Author(s):  
Shigenobu Emoto ◽  
Hiroaki Nozawa ◽  
Satomi Yoneyama ◽  
Koji Murono ◽  
Manabu Kaneko ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Nonoperative Treatment

scholarly journals Successful laparoscopy-assisted repair of a rectovaginal fistula after low anterior resection for rectal cancer: a report of two cases

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hiroyuki Ohta ◽  
Kyozo Hashimoto ◽  
Tomoyuki Mizukuro ◽  
Byonggu An ◽  
Yumi Zen ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Connective Tissue ◽  
Surgical Procedures ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Japanese Patients ◽  
Vaginal Repair ◽  
Satisfactory Outcome ◽  
Double Stapling

Abstract Background Rectovaginal fistula (RVF) after low anterior resection for rectal cancer is troublesome and refractory. Although various surgical procedures have been previously described, no definitive procedure has shown a satisfactory outcome. We present two consecutive Japanese patients who underwent successful surgery for an RVF after low anterior resection. Case presentation The patients were two women (61-year-old and a 64-year-old). They were admitted to our hospital with a chief complaint of fecal discharge from the vagina after low anterior resection using the double-stapling technique for rectal cancer. They were diagnosed with RVF. Local surgical procedures, including diverting ileostomy, were unsuccessful in previous hospitals. Therefore, we performed laparoscopy-assisted repair of the RVF. In both patients, laparoscopically robust pelvic adhesions were dissected, and the sigmoid colon was transected at just oral side to the RVF. Thereafter, in combination with a perineal approach, the rectum, along with a previous anastomosis and fistula, were completely removed. Surgeries were completed after vaginal repair, redo coloanal anastomosis, and interposition of the dissected connective tissue. In both patients, the postoperative courses were uneventful. They complained of neither recurrence of any RVF nor fecal incontinence 1 year and 10 months after diverting stoma closure. Conclusions A laparoscopy-assisted procedure with reanastomosis and interposition of the perineal connective tissue can be an effective treatment for RVF after low anterior resection for rectal cancer.

Incidence and risk factors for rectovaginal fistula after low anterior resection for rectal cancer

2015 ◽  
Vol 30 (12) ◽  
pp. 1659-1666 ◽  
Author(s):  
Jun Watanabe ◽  
Mitsuyoshi Ota ◽  
Daisuke Kawaguchi ◽  
Hidetaka Shima ◽  
Shuhei Kaida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection

scholarly journals Laparoscopic Repair of Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer

2017 ◽  
Vol 50 (2) ◽  
pp. 146-151
Author(s):  
Ryota Tanaka ◽  
Kazunori Nakazawa ◽  
Masahiro Komoto ◽  
Naoki Kametani ◽  
Toshiki Hirakawa ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Laparoscopic Repair ◽  
Low Anterior Resection
Sign in / Sign up

Export Citation Format

Share Document