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Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report
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 re...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Society of Coloproctology
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768818/ https://www.ncbi.nlm.nih.gov/pubmed/31583323 http://dx.doi.org/10.23922/jarc.2017-041 |
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author | Koide, Yoshikazu Maeda, Kotaro Hanai, Tsunekazu Masumori, Koji Matuoka, Hiroshi Katsuno, Hidetoshi Endo, Tomoyoshi Shiota, Miho Mizuno, Masahiro Cheong, Yeong Cheol |
author_facet | Koide, Yoshikazu Maeda, Kotaro Hanai, Tsunekazu Masumori, Koji Matuoka, Hiroshi Katsuno, Hidetoshi Endo, Tomoyoshi Shiota, Miho Mizuno, Masahiro Cheong, Yeong Cheol |
author_sort | Koide, Yoshikazu |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6768818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Japan Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-67688182019-10-03 Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report Koide, Yoshikazu Maeda, Kotaro Hanai, Tsunekazu Masumori, Koji Matuoka, Hiroshi Katsuno, Hidetoshi Endo, Tomoyoshi Shiota, Miho Mizuno, Masahiro Cheong, Yeong Cheol J Anus Rectum Colon Case Report 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. The Japan Society of Coloproctology 2018-04-26 /pmc/articles/PMC6768818/ /pubmed/31583323 http://dx.doi.org/10.23922/jarc.2017-041 Text en Copyright © 2018 by The Japan Society of Coloproctology https://creativecommons.org/licenses/by-nc-nd/4.0/ Journal of the Anus, Rectum and Colon is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Koide, Yoshikazu Maeda, Kotaro Hanai, Tsunekazu Masumori, Koji Matuoka, Hiroshi Katsuno, Hidetoshi Endo, Tomoyoshi Shiota, Miho Mizuno, Masahiro Cheong, Yeong Cheol Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report |
title | Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report |
title_full | Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report |
title_fullStr | Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report |
title_full_unstemmed | Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report |
title_short | Successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (TVM): a case report |
title_sort | successful repair of a rectovaginal fistula caused by a tension-free vaginal mesh (tvm): a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768818/ https://www.ncbi.nlm.nih.gov/pubmed/31583323 http://dx.doi.org/10.23922/jarc.2017-041 |
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