Transvaginal repair of recurrent pouch-vaginal fistula.

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

• Collagen

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)