Top

Published in:

01-12-2024 | Endometriosis | Original Article

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

Authors: A. Potolicchio, C. Jehaes, B. Merlot, V. Assenat, T. Dennis, H. Roman, M.-O. Francois, Q. Denost

Published in: Techniques in Coloproctology | Issue 1/2024

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)

Viganò P, Parazzini F, Somigliana E, Vercellini P (2004) Endometriosis: epidemiology and aetiological factors. Best Pract Res Clin Obstet Gynaecol 18(2):177–200CrossRefPubMed

International Working Group of AAGL, ESGE, ESHRE and WES, Tomassetti C, Johnson NP et al (2021) An international terminology for endometriosis. Hum Reprod Open 2021(4):hoab029CrossRef

Falcone T, Flyckt R (2018) Clinical management of endometriosis. Obstet Gynecol Mars 131(3):557–571CrossRef

Abo C, Moatassim S, Marty N et al (2018) Postoperative complications after bowel endometriosis surgery by shaving, disc excision, or segmental resection: a three-arm comparative analysis of 364 consecutive cases. Fertil Steril 109(1):172–178.e1CrossRefPubMed

Zheng Y, Zhang N, Lu W et al (2018) Rectovaginal fistula following surgery for deep infiltrating endometriosis: does lesion size matter? J Int Med Res 46(2):852–864CrossRefPubMed

Roman H, Dennis T, Forestier D et al (2023) Excision of deep rectovaginal endometriosis nodules with large infiltration of both rectum and vagina: what is a reasonable rate of preventive stoma? A comparative study. J Minim Invasive Gynecol 30(2):147–155CrossRefPubMed

Spinelli A, Foppa C, Carvello M et al (2021) Transanal transection and single-stapled anastomosis (TTSS): a comparison of anastomotic leak rates with the double-stapled technique and with transanal total mesorectal excision (TaTME) for rectal cancer. Eur J Surg Oncol 47(12):3123–3129. https://doi.org/10.1016/j.ejso.2021.08.002CrossRefPubMed

Title: Treatment techniques for rectovaginal fistulas after low rectal resection for deep endometriosis
Authors: A. Potolicchio
C. Jehaes
B. Merlot
V. Assenat
T. Dennis
H. Roman
M.-O. Francois
Q. Denost
Publication date: 01-12-2024
Publisher: Springer International Publishing
Keywords: Endometriosis
Rectal Extirpation
Rectal Extirpation
Ileostomy
Colpectomy
Anterior Rectal Resection
Anterior Rectal Resection
Enterostomy
Enterostomy
Published in: Techniques in Coloproctology / Issue 1/2024
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-024-02923-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2024

Association of radiotherapy for prostate cancer and second primary colorectal cancer: a US population-based analysis

Complications associated with loop ileostomy: analysis of risk factors

Risk factors for severe morbidity and definitive stoma after elective surgery for sigmoid diverticulitis: a multicenter national cohort study

Multimode ultrasound imaging of an anal canal gastrointestinal stromal tumour (GIST)

Whither the coloproctologist of the future? Returning to the kindred spirit of the barber-surgeon

Surgical outcomes of minimally invasive trephine surgery for pilonidal sinus disease with and without laser therapy: a comparative study