Document Detail


Graciloplasty for the rectovaginal fistula after chemoradiation followed by total mesorectal excision for rectal cancer.
MedLine Citation:
PMID:  23273238     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Rectovaginal fistula (RVF) is one of the intractable complications following chemoradiation and total mesorectal excision (TME) for rectal cancer. It is supposed that there is a strong possibility of this complication occurring in patients after radiation therapy and having underlying sepsis. We describe herein two female patients (73 and 40 years old) who developed RVF after chemoradiation and TME for rectal cancer, who were successfully managed by gracilis muscle transposition. Fecal diversion was done as a preliminary step to the fistula repair. Success was defined as healed fistula after stoma closure. The strategy in the present report is a useful option for RVF management in such patients as other successful modalities are very limited.
Authors:
Narimantas Evaldas Samalavicius; Rakesh Kumar Gupta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of Iranian medicine     Volume:  16     ISSN:  1029-2977     ISO Abbreviation:  Arch Iran Med     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889644     Medline TA:  Arch Iran Med     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  54-5     Citation Subset:  IM    
Affiliation:
Clinic of Internal, Family Medicine, and Oncology of Medical Faculty of Vilnius University, Oncology Institute of Vilnius University. rakesh154@yahoo.co.in.
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