Minimally invasive perineal redo surgery for rectovesical and rectovaginal fistulae: A case series.

ABSTRACT:

Introduction

Iatrogenic recto-urogenital fistulae are refractory complications that rarely heal without surgical intervention. The ongoing local infection causes pain, discomfort and substantially impacts quality of life. Surgical repair requires adequate exposure and space to fill with healthy tissue, which is a major challenge in pelvic redo surgery. An abdominal approach to repair the fistula is associated with major morbidity and often fails to expose the deep pelvis. In our experience a novel transperineal minimally invasive approach a utilizing single incision laparoscopic surgery (SILS) technique could offer improved results.

Presentation of cases

In the present study, three cases of patients with recto-urogenital fistulae after pelvic surgery are described. Two patie

SUBMITTER: Gruter AAJ 

PROVIDER: S-EPMC7724097 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature