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Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer Using a Double Stapling TechniqueYodonawa S. · Ogawa I. · Yoshida S. · Ito H. · Kobayashi K. · Kubokawa R.
Department of Surgery, Ibaraki Seinan Medical Center Hospital, Ibaraki, Japan Corresponding Author
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 email@example.com
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.
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