| Novel surgical repair with bilateral gluteus muscle patching for intractable rectovaginal fistula. | |
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MedLine Citation:
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PMID: 14628166 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We created a novel surgical repair for intractable rectovaginal fistula and treated four patients who had previously undergone unsuccessful surgery. An X-shaped skin incision was made on the perineum, and then the rectum was carefully divided from the vagina. Defects of both the rectum and the vagina were closed with vertical mattress sutures. The external sphincter muscle also was approximated. The gluteus muscle was identified through another skin incision to the buttock, and cut at the attachment to the femur. Bilateral gluteus muscles were approximated at the midline of the perineum so that the vagina was sufficiently separated from the rectum. Established anorectal angle was 92.5 degrees (SD=6.4 degrees ). Mean resting pressure was 101.3 cm H2O (SD=13.1). All patients retained complete anal function without soiling. The unusual problem of erosion of the posterior vaginal wall with fistulation in a sexually active woman justifies greater efforts, and this surgical technique offers good prospects in this small group of patients. |
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Authors:
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H Onodera; S Nagayama; I Kohmoto; S Maetani; M Imamura |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Techniques in coloproctology Volume: 7 ISSN: 1123-6337 ISO Abbreviation: Tech Coloproctol Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-11-20 Completed Date: 2004-03-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9613614 Medline TA: Tech Coloproctol Country: Italy |
Other Details:
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Languages: eng Pagination: 198-202 Citation Subset: IM |
Affiliation:
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Department of Surgery and Surgical Basic Science, Kyoto University, 54 Shogoin Kawara-cho, Sakyo-ku, Kyoto 606-8507, Japan. onohisa@kuhp.kyoto-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Gynecologic Surgical Procedures / methods Humans Rectovaginal Fistula / surgery* Rectum / surgery Surgical Flaps* Vagina / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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