Technical Note

Techniques in Coloproctology

, Volume 18, Issue 2, pp 201-203

The trans-sphincteric posterior sagittal repair of recto-urinary and recto-vaginal fistulae using Surgisis™ mesh and fibrin sealant

  • A. M. BorowiecAffiliated withDepartment of Surgery, 2C3.62 WMC, University of Alberta Hospital Email author 
  • , M. McCallAffiliated withDepartment of Surgery, 2C3.62 WMC, University of Alberta Hospital
  • , G. M. LeesAffiliated withDepartment of Surgery, 2C3.62 WMC, University of Alberta Hospital

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Abstract

Recto-urinary, recto-vaginal and ileo-anal pouch-associated fistulae are rare yet a significant clinical problem due to their profound impact on patients’ quality of life and are a challenge to repair. In this report, we describe repair of these complex fistulae using a modified trans-sphincteric posterior sagittal approach with Surgisis™ mesh and fibrin sealant and review our repair outcomes.

Keywords

Recto-urinary Recto-vaginal Fistula Surgisis™ Fibrin