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Table of Contents
Vol. 4, No. 2, 2010
Issue release date: May – August
Section title: Published: July 2010

Open Access Gateway

Case Rep Gastroenterol 2010;4:224–228

Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer Using a Double Stapling Technique

Yodonawa S. · Ogawa I. · Yoshida S. · Ito H. · Kobayashi K. · Kubokawa R.
Department of Surgery, Ibaraki Seinan Medical Center Hospital, Ibaraki, Japan
email Corresponding Author

Satoshi Yodonawa

Department Surgery, Ibaraki Seinan Medical Center Hospital

2190 Sakai-machi, Sashima-gun, Ibaraki (Japan)

Tel. +81 280 878 111, Fax +81 280 867 702, E-Mail geka-yodonawa@seinan-mch.or.jp

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A 55-year-old female underwent low anterior resection for rectal cancer using a double stapling technique. She developed a rectovaginal fistula on the 9th postoperative day. She was discharged from hospital after undergoing transverse colostomy, and 5 months later she underwent transvaginal repair of the rectovaginal fistula. She subsequently had an uneventful recovery. The leading cause of this complication is involvement of the posterior wall of the vagina in the staple line when firing the circular stapler. Transvaginal repair with a diverting stoma for rectovaginal fistula is a safe, minimally invasive and effective method.

© 2010 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Published: July 2010

Published online: July 24, 2010
Issue release date: May – August

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 0

ISSN: (Print)
eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG

Open Access License / Drug Dosage / Disclaimer

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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