Interposition of the mesorectal flap as prevention of rectovaginal fistula in patients with endometriosis

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023698%3A_____%2F19%3AN0000002" target="_blank" >RIV/00023698:_____/19:N0000002 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/19:43918421 RIV/00064173:_____/19:N0000096
Result on the web
<a href="https://doi.org/10.1007/s00192-019-04030-8" target="_blank" >https://doi.org/10.1007/s00192-019-04030-8</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00192-019-04030-8" target="_blank" >10.1007/s00192-019-04030-8</a>

Result language
angličtina
Original language name
Interposition of the mesorectal flap as prevention of rectovaginal fistula in patients with endometriosis
Original language description
Endometriosis is a gynecological condition characterized by endometrial tissue outside of the uterus. It affects up to 15% of women of reproductive age. In the case of bowel infiltration, about 90% of lesions are localized on the sigmoid colon or the rectum and may interfere with bowel function. Three surgical approaches are possible: (1) shaving technique, (2) discoid resection of the nodule, and (3) segmental resection with end-to-end anastomosis. A rectovaginal fistula is feared as a postoperative complication mainly in simultaneous resection of the vaginal and the rectosigmoid nodules. Its prevention is a two-step surgery (the first operation on the vagina and the second on the colon) or a preventive colostomy, both of which are often thought to be too invasive for a benign condition. Herein, we suggest a one-step surgery to prevent its development. METHODS: In three women, a concomitant laparoscopic resection of the vaginal and rectosigmoid endometrial nodule was completed with interposition of a mesorectal flap. RESULTS: All surgeries were uncomplicated with no rectovaginal fistula in the postoperative period. CONCLUSION: In the hands of skilled surgeons, this one-step technique can be used to prevent rectovaginal fistula development.
Czech name
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30214 - Obstetrics and gynaecology

Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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