Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report.
In: Journal of the anus, rectum and colon, Jg. 2 (2018-04-26), Heft 2, S. 66-69
Online
report
Zugriff:
Rectovaginal fistula caused by a tension-free vaginal mesh (TVM) is a rare condition. Moreover, a rectovaginal fistula is a challenging issue to address for surgeons regardless of causes. Due to a low rate of occurrence, treatment modality for a rectovaginal fistula caused by a TVM has previously received little attention. A successful surgery using several key techniques to address a rectovaginal fistula caused by a TVM is herein reported. A 78-year-old woman who underwent a TVM for a rectocele three months ago was referred to our hospital with a two-month history of anal bleeding. Mesh protruding into both the vagina and the rectum was confirmed. The patient was operated on under diagnosis of a rectovaginal fistula caused by TVM. TVM was removed by transvaginal dissection of the rectovaginal septum with division of both anterior and posterior arms of the TVM. Layer-to-layer sutures of rectal and vaginal walls were crossly performed with a drain placed in the rectovaginal septum after saline irrigation followed by a covering sigmoid colostomy. The wound healed without infection after surgery, and a water-soluble contrast enema demonstrated the healing of the rectovaginal fistula two months after surgery. No recurrent fistula was confirmed 15 months after stoma closure.
Competing Interests: Conflicts of Interest There are no conflicts of interest.
(Copyright © 2018 by The Japan Society of Coloproctology.)
Titel: |
Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report.
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Autor/in / Beteiligte Person: | Koide, Y ; Maeda, K ; Hanai, T ; Masumori, K ; Matuoka, H ; Katsuno, H ; Endo, T ; Shiota, M ; Mizuno, M ; Cheong, YC |
Link: | |
Zeitschrift: | Journal of the anus, rectum and colon, Jg. 2 (2018-04-26), Heft 2, S. 66-69 |
Veröffentlichung: | Tokyo : Japan Society of Coloproctology, 2018 |
Medientyp: | report |
ISSN: | 2432-3853 (electronic) |
DOI: | 10.23922/jarc.2017-041 |
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