Surgical repair of complex rectovaginal fistulas: Report of two cases
| Autor: | Jorge Maza Vallejos, Karla Alejandra Santos Jasso, F. Antonio Medina Vega, M. Antonieta Cabrera Hernández |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery Rectum Transanal pull-trough Rectovaginal fistula Sagital posterior approach 03 medical and health sciences 0302 clinical medicine Medicine Surgical repair business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 Anal canal medicine.disease Surgery medicine.anatomical_structure Sexual abuse 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Vagina Etiology 030211 gastroenterology & hepatology Upper third business |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 22, Iss C, Pp 31-34 (2017) |
| ISSN: | 2213-5766 |
| Popis: | A rectovaginal fistula (RVF) is an abnormal communication between the rectum and the vagina. In girls, the main etiologies are iatrogenic (correction of anorrectal malformations and Hirschsprung disease) and traumatic (sexual abuse and foreign bodies). Multiple surgical approaches have been described for the treatment of this pathology, having the posterior sagital approach, in pediatric population, the one with best results. However the complex RVF (epithelialized long length communications, located at the upper third of the rectovaginal septum, diameters > 2.5 cm, and recurrent and those secondary to pelvic radiation) have poor results when are treated with conventional techniques; they require the removal of peripheral fibrous tissue and replacement by healthy tissue with adequate arterial supply, preserving the anal canal and, in consequence, fecal continence. This work describes our experience in the repair of two pediatric patients with complex rectovaginal fistulas using a combination of two colorectal surgical techniques: the posterior sagital approach and transanal pull-trough (Swenson technique) with the complete resolution of the fistulas, allowing the stomas closure and keeping fecal continence. |
| Databáze: | OpenAIRE |
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