Li Destri Giovanni, Scilletta Beniamino, Tomaselli Tiziana Grazia, Zarbo Giuseppe
Department of Surgical Sciences, Organ Transplantation, Advanced Technologies, University of Catania, Via Guicciardini 6, 95030, Sant'Agata Li Battiati, Catania, Italy.
J Gastrointest Surg. 2008 Mar;12(3):601-3. doi: 10.1007/s11605-007-0333-6.
Many surgical procedures have been developed to repair rectovaginal fistulas even if no "procedure of choice" is reported. The authors report a case of relatively uncommon, complex, medium-high post-obstetric rectovaginal fistula without sphincteral lesions and treated with a novel tailored technique. Our innovative surgical management consisted of preparing the neck of the fistula inside the vagina and folding it into the rectum so as to enclose the fistula within two semicontinuous sutures (stapled transanal rectal resection); no fecal diversion was performed. Postoperative follow-up at 9 months showed no recurrence of the fistula.
即使没有报道“首选手术方法”，仍已开发出许多外科手术来修复直肠阴道瘘。作者报告了一例相对罕见、复杂、中高位产后直肠阴道瘘病例，该病例无括约肌损伤，采用了一种新颖的定制技术进行治疗。我们创新的手术管理方法包括在阴道内准备瘘管颈部并将其折叠到直肠内，以便用两根半连续缝线将瘘管封闭（吻合器经肛门直肠切除术）；未进行粪便转流。9个月的术后随访显示瘘管未复发。
