Rectovaginal fistula after STARR procedure complicated by haematomaof the posterior vaginal wall: report of a case |
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Authors: | R. Bassi J. Rademacher A. Savoia |
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Affiliation: | (1) Coloproctology Unit, Division of General Surgery Ospedale Maggiore, Crema (CR), Italy |
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Abstract: | We report the case of a patient treated with the stapled transanal rectal resection (STARR) procedure for obstructed defecation, who developed an early postoperative haematoma of the posterior vaginal wall and, after 30 days, a rectovaginal fistula (RVF), even though the intervention had been performed according to the standardized technique. After clinical examination and three-dimensional anal endosonography, we carried out a successful surgical correction with double vaginal and rectal flaps with repair of the rectovaginal septum and without faecal diversion. The STARR procedure, even if performed according to a rigorous application of the methodological standards, may be followed by a RVF possibly due to a blood collection leading to ischaemia of the vaginal wall. |
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Keywords: | STARR procedure Stapled transanal rectal resection Rectovaginal fistula Surgical repair Outlet obstruction |
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