Minerva chirurgica · 1999
[The endorectal repair of rectovaginal fistulae].
Сравнительное исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Milito G, Pisani A, Venditti D, Cortese F, Casciani C U
Аннотация
BACKGROUND: Twenty-one patients who had simple rectovaginal fistulas were treated at the Surgical Department of "Tor Vergata" University from 1992 to 1996 all of whom were at the first approach.
METHODS: The fistulas were treated with complete excision of the external tract and primary closure of the internal opening with advancement of a rectal mucosal flap, distal to the origin fistulas opening. The vaginal side is left open for drainage.
RESULTS: Eighteen of the twenty-one patients had good results; three patients required reoperation for recurrences; all of them had satisfactory results.
CONCLUSIONS: The advancement flap technique was very useful for simple rectovaginal fistulas with any sphincter damage, and it is very well tolerated by patients.
METHODS: The fistulas were treated with complete excision of the external tract and primary closure of the internal opening with advancement of a rectal mucosal flap, distal to the origin fistulas opening. The vaginal side is left open for drainage.
RESULTS: Eighteen of the twenty-one patients had good results; three patients required reoperation for recurrences; all of them had satisfactory results.
CONCLUSIONS: The advancement flap technique was very useful for simple rectovaginal fistulas with any sphincter damage, and it is very well tolerated by patients.