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Techniques in Coloproctology
Published in: Techniques in Coloproctology 6/2012

01-12-2012 | Review

The challenge of pouch-vaginal fistulas: a systematic review

Authors: S. Maslekar, P. M. Sagar, D. Harji, C. Bruce, B. Griffiths

Published in: Techniques in Coloproctology | Issue 6/2012

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Abstract

Pouch-vaginal fistulae affect 6 % of women after ileal pouch-anal anastomosis. Such fistulae significantly impact on the patient’s quality of life and present a technical challenge to the surgeon. Although several operative approaches have been described, results from a number of case series are variable and associated with significant rates of failure. As a result, there remains a lack of consensus in the literature with regard to the management of this troublesome problem. The purpose of this article is to review the results of surgical intervention and to provide a clinical algorithm that gives a structured approach to the management of pouch-vaginal fistulae.
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Metadata
Title
The challenge of pouch-vaginal fistulas: a systematic review
Authors
S. Maslekar
P. M. Sagar
D. Harji
C. Bruce
B. Griffiths
Publication date
01-12-2012
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 6/2012
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-012-0885-7

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