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. 2024 Apr 29;28(1):51.
doi: 10.1007/s10151-024-02923-5.

Treatment techniques for rectovaginal fistulas after low rectal resection for deep endometriosis

A Potolicchio  1 , C Jehaes  2 , B Merlot  3 , V Assenat  1 , T Dennis  3 , H Roman  3   4 , M-O Francois  1 , Q Denost  1
Affiliations

Treatment techniques for rectovaginal fistulas after low rectal resection for deep endometriosis

A Potolicchio et al. Tech Coloproctol. .

Abstract

Endometriosis is a benign gynecologic affection that may lead to major surgeries, such as colorectal resections. Rectovaginal fistulas (RVF) are among the possible complications. When they occur, it is necessary to adapt the repair surgery as best as possible to limit their functional consequences. This video shows three different techniques for correcting RVF after rectal resection for endometriosis, with a combination of perineal surgery and laparoscopy: a mucosal flap, a transanal transection and single stapled anastomosis (TTSS) and a pull through. Supplementary file1 (MP4 469658 KB).

Keywords: Deep endometriosis; mucosal flap; rectal resection; rectovaginal fistula; transanal approach.

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References

    1. Viganò P, Parazzini F, Somigliana E, Vercellini P (2004) Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol 18(2):177–200 - DOI - PubMed
    1. International Working Group of AAGL, ESGE, ESHRE and WES, Tomassetti C, Johnson NP et al (2021) An international terminology for endometriosis. Hum Reprod Open 2021(4):hoab029 - DOI
    1. Falcone T, Flyckt R (2018) Clinical management of endometriosis. Obstet Gynecol Mars 131(3):557–571 - DOI
    1. Abo C, Moatassim S, Marty N et al (2018) Postoperative complications after bowel endometriosis surgery by shaving, disc excision, or segmental resection: a three-arm comparative analysis of 364 consecutive cases. Fertil Steril 109(1):172–178.e1 - DOI - PubMed
    1. Zheng Y, Zhang N, Lu W et al (2018) Rectovaginal fistula following surgery for deep infiltrating endometriosis: does lesion size matter? J Int Med Res 46(2):852–864 - DOI - PubMed

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