{"paper_id":"8279e13c-7032-4d2b-834b-b04d1d58704f","body_text":"Abstract\nEndometriosis 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.\nSupplementary file1 (MP4 469658 KB)\nSimilar content being viewed by others\nData Availability\nNo research data are available outside the submitted manuscript file.\nReferences\nViganò P, Parazzini F, Somigliana E, Vercellini P (2004) Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol 18(2):177–200\nInternational 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\nFalcone T, Flyckt R (2018) Clinical management of endometriosis. Obstet Gynecol Mars 131(3):557–571\nAbo 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\nZheng 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\nRoman H, Dennis T, Forestier D et al (2023) Excision of deep rectovaginal endometriosis nodules with large infiltration of both rectum and vagina: what is a reasonable rate of preventive stoma? A comparative study. J Minim Invasive Gynecol 30(2):147–155\nSpinelli A, Foppa C, Carvello M et al (2021) Transanal transection and single-stapled anastomosis (TTSS): a comparison of anastomotic leak rates with the double-stapled technique and with transanal total mesorectal excision (TaTME) for rectal cancer. Eur J Surg Oncol 47(12):3123–3129. https://doi.org/10.1016/j.ejso.2021.08.002\nAuthor information\nAuthors and Affiliations\nContributions\nA.P. and C.J. edited the video and participated in one of the three surgeries. They wrote the manuscript together. Q.D., M.-O.F and V.A. were the colorectal surgeons in these videos. T.D., B.M. and H.W. were the gynecologists of these patients. All authors reviewed the manuscript.\nCorresponding author\nEthics declarations\nConflict of interest\nThe authors declare that they have no conflict of interests as defined by Springer, or other interests that might be perceived to influence the results and/or discussion reported in this paper.\nEthical approval\nAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.\nInformed consent\nInformed consent was obtained from all individual participants included in the study.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.\nAbout this article\nCite this article\nPotolicchio, A., Jehaes, C., Merlot, B. et al. Treatment techniques for rectovaginal fistulas after low rectal resection for deep endometriosis. Tech Coloproctol 28, 51 (2024). https://doi.org/10.1007/s10151-024-02923-5\nReceived:\nAccepted:\nPublished:\nVersion of record:\nDOI: https://doi.org/10.1007/s10151-024-02923-5","source_license":"CC0","license_restricted":false}