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Prevention of Anovaginal Fistula during Double-Stapling of Ileal Pouch-Anal Anastomosis

Die Prävention anovaginaler Fisteln während des Doppel-Staplings einer ileo-Pouch-analen Anastomose

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coloproctology Aims and scope

Abstract

Recto- or anovaginal fistula is a troublesome complication of double-stapling technique in ultralow rectal anastomosis for rectal cancer or in ileal pouch-anal anastomosis for ulcerative colitis. In this study, a technique for preventing this problem by means of separation of the vaginal wall during the stapler firing is described using a flexible spatula introduced through the rectovaginal septum into the peritoneal cavity.

Zusammenfassung

Die rekto- oder anovaginale Fistel ist eine unangenehme Komplikation der Doppelklammertechnik bei der ultratiefen Rektumanastomose beim Rektumkarzinom oder bei einer ilealen Pouch-analen Anastomose wegen Colitis ulcerosa. In der vorliegenden Studie wird eine Technik zur Vermeidung dieses Problems mittels Separation der vaginalen Wand während der Klammerung durch einen flexiblen Spatel beschrieben, der durch das rektovaginale Septum in den Peritonealraum eingeführt wird.

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Authors and Affiliations

  1. Department of General Surgery and Liver Transplantation, University of Bari, Italy

    Fabio Marino

  2. Department of Emergency and Organ Transplantation, General Surgery and Liver Transplantation Units, University of Bari Policlinico, Piazza G. Cesare, 11, 70124, Bari, Italy

    Donato F. Altomare MD

Authors
  1. Donato F. Altomare MD
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  2. Marcella Rinaldi
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  3. Pierluigi Lobascio
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  4. Fabio Marino
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Corresponding author

Correspondence to Donato F. Altomare MD.

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Altomare, D.F., Rinaldi, M., Lobascio, P. et al. Prevention of Anovaginal Fistula during Double-Stapling of Ileal Pouch-Anal Anastomosis. coloproctology 26, 334–336 (2004). https://doi.org/10.1007/s00053-004-5145-5

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  • DOI: https://doi.org/10.1007/s00053-004-5145-5

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