We read with great interest the paper published by Guneyli et al. (1) in Diagnostic and Interventional Radiology along with the other impressive papers regarding the use of Amplatzer® Vascular Plugs (AVPs, AGA Medical Corp., Golden Valley, Minnesota, USA) (1–3). We would like to share our experience about using the AVP for treating a rectovaginal fistula (RVF). Although initially successful, th...

Background: The anorectal anomalies consist in a complex group of birth defects. Laparoscopic-assisted anorectoplasty improved visualization of the rectal fistula and the ability to place the pull-through segment within the elevator muscle complex with minimal dissection. There is no consensus on how the fistula should be managed. Aim: To evaluate the laparoscopic-assisted anorectoplasty and...

The present article aimed to review some important aspects regarding the work and life of the legendary English surgeon William Ernest Miles. His masterwork began at the beginning of the 20th century, when he devised the first radical procedure that aimed to control rectal cancer, after analyzing the poor outcomes of perineal resections for the disease. The famous 1908 publication, focusing on ...

A clinical case of a patient with external incomplete non-formed small intestinal fistula involving previously formed ureteroejunoanastomosis in infiltrate and presence purulent cavity pelvis communicating medium perineum is presented. This complication occurred after planned surgery the volume total infralevatory evisceration due to local advanced rectal cancer. The underwent this for long tim...

Abstract Background Rectovaginal fistula (RVF) after low anterior resection for rectal cancer is troublesome and refractory. Although various surgical procedures have been previously described, no definitive procedure has shown a satisfactory outcome. We present two consecutive Japanese patients who underwent successful surgery an RVF resection. Case presentation The were women (61-year-old 64-...

A six-weeks-old, female kitten presented with dehydration, depression, atresia ani and a discharge of watery feces from the vulvar opening. On radiographic examination, blind-end rectum was determined to be >1 cm cranial anal dimple, classifying it as type III ani. Atresia combined rectovaginal fistula is an uncommon congenital defect terminal anus that can occur in kittens. After supportive...

BACKGROUND Although interest in sphincter-sparing treatments for anal fistulas is increasing, few large prospective studies of these approaches have been conducted. OBJECTIVE The study assessed outcomes after implantation of a synthetic bioabsorbable anal fistula plug. DESIGN A prospective, multicenter investigation was performed. SETTING The study was conducted at 11 colon and rectal cen...