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Treatment techniques for rectovaginal fistulas after low rectal resection for deep endometriosis

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Abstract

Endometriosis is a benign gynecologic affection that may lead to major surgeries, such as colorectal resections. Rectovaginal fistulas (RVF) are among the possible complications. When they occur, it is necessary to adapt the repair surgery as best as possible to limit their functional consequences. This video shows three different techniques for correcting RVF after rectal resection for endometriosis, with a combination of perineal surgery and laparoscopy: a mucosal flap, a transanal transection and single stapled anastomosis (TTSS) and a pull through.

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Contributions

A.P. and C.J. edited the video and participated in one of the three surgeries. They wrote the manuscript together. Q.D., M.-O.F and V.A. were the colorectal surgeons in these videos. T.D., B.M. and H.W. were the gynecologists of these patients. All authors reviewed the manuscript.

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Correspondence to C. Jehaes.

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The authors declare that they have no conflict of interests as defined by Springer, or other interests that might be perceived to influence the results and/or discussion reported in this paper.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Potolicchio, A., Jehaes, C., Merlot, B. et al. Treatment techniques for rectovaginal fistulas after low rectal resection for deep endometriosis. Tech Coloproctol 28, 51 (2024). https://doi.org/10.1007/s10151-024-02923-5

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  • DOI: https://doi.org/10.1007/s10151-024-02923-5

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