Rectovaginal fistulas account for less than 5% of all anorectal fistulas. They may occur as a result of obstetrical injuries, inflammatory bowel diseases, or pelvic cancer irradiation. The aim of the study was to describe the results of different methods of surgical treatment according to the etiology and localization of rectovaginal fistulas. Material and methods. The study included 23 female ...

The most common concomitant site of injury following a penetrating anorectal injury is the genitourinary tract. In anorectal penetrating injuries, other organ injuries must be thoroughly evaluated. In the presence of concomitant rectal and posterior bladder injury, consideration should be given to omental interposition between the surgically repaired organs to prevent fistula formation. Fecal d...

Complex rectovaginal fistulas are uncommon but can be very difficult to manage. There are various techniques for repair, including endorectal advancement flaps, transperineal and transvaginal approaches, and fistula plugs, with varying success rates from 50-60% for the primary procedure to >70% after multiple procedures (1, 2, 3). For women with inflammatory bowel disease, history of radiation,...

STUDY OBJECTIVE To evaluate postoperative complications, digestive function and fertility outcomes in patients managed by rectal shaving using plasma energy in deep infiltrating endometriosis of the rectum. DESIGN A single-center retrospective cohort study using data recorded prospectively. DESIGN CLASSIFICATION Canadian Task Force classification II-2. SETTINGS Department of Gynecology an...

A patient who underwent emergency laparotomy for rectal prolapse developed repeated abdominal wound dehiscence and subsequently an enteric fistula. The management of abdominal wound dehiscence is discussed, specifically with regards to the Bogota bag. Use of Bogota bag has been reported worldwide but this may be the first report here.

Colorectal foreign bodies are frequently encountered with increased incidence of homosexuality and anal auto-erotism. A thirty-five years old unmarried male presented with an incarcerated rectal foreign body, a phallus shaped dried fruit of Cassia fistula. It was removed transanally after manipulation at laparotomy. The case is presented here due to its rarity.

Rectourethral fistula is an uncommon but challenging disease that may have a congenital or acquired origin. The most frequent etiologies are traumatic and iatrogenic. In the last decades the widespread use of radiation therapy for prostate cancer led to an increase of complex cases. The diagnostic work up is usually not demanding. Spontaneous closure can be achieved after single or double diver...

We describe a technique for the management of prolapsing hemorrhoids, with the aim to minimize the risk of anal stricture and rectovaginal fistula and to reduce the impact of the stapling technique on rectal compliance. This modified procedure was successfully applied in China, and preliminary data showed promising outcomes (see Video, Supplemental Digital Content 1, http://links.lww.com/DCR/A1...

A temporarily defunctioning stoma, while effective at reducing symptomatic anastomotic leakage after low anterior resection (LAR) of rectal cancer, and its subsequent closure, is associated with significant morbidity. Here, we devised a new tube ileostomy using a biofragmentable anastomosis ring (TIB) with no need for reversal.This is a retrospective cohort study. From June 2011 to March 2015, ...

An 82-year-old patient presented with a history of fever for 2 weeks and occasional rectal bleeding. He had undergone endovascular repair of a left internal iliac artery aneurysm (IIAA) 3 years previously (●" Fig.1); distal occlusion of the IIAA with coil embolization and proximal occlusion using an aorto–external iliac artery stent graft achieved successful exclusion of the IIAA (●" Fig.2). Co...