| Outcomes after repair of rectovaginal fistulas using bioprosthetics. | |
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MedLine Citation:
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PMID: 18478298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study was to report the outcomes with the use of advancement flaps and bioprosthetic grafts for the management of rectovaginal fistulas. METHODS: A retrospective analysis of prospectively collected data was performed for all patients treated with a rectovaginal fistula. RESULTS: There were 44 patients in the advancement flap group. A mucosal flap repair was performed for 29 patients, and 15 patients had an anodermal flap repair. The mean follow-up was 10 (range, 6-22) months. There were 34 patients in the bioprosthetic repair group. A bioprosthetic interposition graft was used to repair the fistula in 27 patients with a mean follow-up of 12 (range, 6-22) months, and 7 patients had a bioprosthetic plug repair of their fistula with a mean follow-up of 6 (range, 3-12) months. The fistula recurred in 15 patients (34 percent) who were managed by a flap repair, 5 patients (19 percent) who were managed by a bioprosthetic sheet, and 1 patient (14 percent) who was treated with a bioprosthetic plug. CONCLUSIONS: Use of bioprosthetics for the management of rectovaginal fistulas is a new technique, which, based on early experience, seems to yield results equal to advancement flap repair. |
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Authors:
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C Neal Ellis |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2008-05-14 |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 51 ISSN: 1530-0358 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-07-03 Completed Date: 2008-07-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: United States |
Other Details:
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Languages: eng Pagination: 1084-8 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of South Alabama, Mobile, Alabama, USA. nellis@usouthal.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bioprosthesis* Female Follow-Up Studies Humans Middle Aged Patient Satisfaction Prosthesis Design Prosthesis Implantation / instrumentation* Rectovaginal Fistula / pathology, surgery* Recurrence / prevention & control Retrospective Studies Skin Transplantation / methods Surgical Flaps Suture Techniques Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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