Transvaginal early fistula debridement and repair plus continuous vacuum aspiration via anal tube for rectovaginal fistula following rectal cancer surgery: report of four cases.
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Abstract
OBJECTIVE: To investigate the feasibility and superiority of transvaginal early fistula debridement and repair plus continuous vacuum aspiration via anal tube for rectovaginal fistula following rectal cancer surgery. METHODS: The clinical data of four cases of rectovaginal fistula following rectal cancer surgery were retrospectively analyzed in our center. After adequate preoperative preparation, the patients underwent transvaginal fistula debridement and repair plus continuous vacuum aspiration via anal tube under continuous epidural anesthesia. After surgery and before discharge, anti-infection and nutritional support was administered for 2 d, and fluid diet and anal tube vacuum aspiration continued for 7 d. RESULTS: All the four cases healed. Three of them healed after one operation, and the other patient had obvious shrinkage of the fistular orifice after the first operation and underwent the same operation for a second time before complete healing. The duration of postoperative follow-up was 2, 7, 8 and 9 months respectively. No recurrence or abnormal sex life was reported. CONCLUSIONS: Early transvaginal fistula debridement and repair plus continuous vacuum aspiration via anal tube are feasible for rectovaginal fistula following rectal cancer surgery. This operation has many advantages, such as minimal invasiveness, short durations of operation, short treatment cycles, and easy acceptance by the patient. In addition, it does not necessitate colostomy for feces shunt and a secondary colostomy and reduction.
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- Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis via openalex
- doi:10.1002/(sici)1096-9098(199602)61:2<155::aid-jso12>3.0.co;2-8 via openalex
- doi:10.1002/(sici)1096-9098(199907)71:3<196::aid-jso11>3.0.co;2-r via openalex
- doi:10.1007/s10350-006-0585-3 via openalex
- doi:10.1159/000318745 via openalex
- doi:10.1007/s00595-008-3883-7 via openalex
- doi:10.1016/j.jviscsurg.2013.08.002 via openalex
- doi:10.1007/bf02483037 via openalex
- W99402202 via openalex
- W2189513883 via openalex
- W2416209933 via openalex
- W2470517620 via openalex
- W2118822209 via openalex
- doi:10.1186/1477-7819-3-74 via openalex
- doi:10.1016/j.surg.2004.10.004 via openalex
- doi:10.1007/s004649900287 via openalex
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