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

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

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.

Publication types

  • Video-Audio Media

MeSH terms

  • Adult
  • Anastomosis, Surgical / adverse effects
  • Anastomosis, Surgical / methods
  • Endometriosis* / surgery
  • Female
  • Humans
  • Laparoscopy* / adverse effects
  • Laparoscopy* / methods
  • Perineum / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Proctectomy / adverse effects
  • Proctectomy / methods
  • Rectovaginal Fistula* / etiology
  • Rectovaginal Fistula* / surgery
  • Rectum / surgery
  • Surgical Flaps