Abstract | AIM: Pouch- vaginal fistula is an uncommon but unpleasant complication. The chance of successful repair with various surgical procedures is around 50% and the early promise of collagen button plugs was not followed by good long-term results. We report a series of patients who underwent transvaginal repair of pouch- vaginal fistula after failed collagen plugs accompanied by a video to show the operative technique. METHOD: Patients were identified from a prospectively maintained database. Patient demographics, operation notes, complications and ultimate outcome were recorded. RESULTS: Eleven patients, each of whom had previously undergone an attempt to close the fistula with a collagen button plug, underwent transvaginal repair. Nine (81%) were successful at a median follow-up of 14 (6-56) months. The remaining two patients reported symptomatic improvement. CONCLUSION: Pouch- vaginal fistula can be successfully closed by the transvaginal technique after a failed button plug procedure.
|
Authors | R C Sagar, M Thornton, A Herd, I Brayshaw, P M Sagar |
Journal | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
(Colorectal Dis)
Vol. 16
Issue 12
Pg. O440-2
(Dec 2014)
ISSN: 1463-1318 [Electronic] England |
PMID | 25204796
(Publication Type: Journal Article)
|
Copyright | Colorectal Disease © 2014 The Association of Coloproctology of Great Britain and Ireland. |
Chemical References |
|
Topics |
- Adult
- Collagen
(therapeutic use)
- Colonic Pouches
(adverse effects)
- Female
- Humans
- Intestinal Fistula
(etiology, surgery, therapy)
- Middle Aged
- Retreatment
- Treatment Failure
- Vagina
- Vaginal Fistula
(etiology, surgery, therapy)
|