Japanese

Surgical treatment of rectovaginal fistula after low anterior resection for rectal cancer by laparoscopy assisted gracilis muscle flap interposition : Report of two cases Hiroki OHYA 1 , Jun WATANABE 2 , Shogo TAKEI 2 , Hirokazu SUWA 1 , Hidenobu MASUI 1 , Itaru ENDO 3 1Department of Surgery, Yokosuka Kyosai Hospital 2Department of Gastroenterological Center, Yokohama City University Medical Center 3Department of Gastroenterological Surgery, Yokohama City University Keyword: 直腸腟瘻 , 薄筋 , 腹腔鏡 pp.377-384
Published Date 2020/9/15
DOI https://doi.org/10.11477/mf.4426200834
  • Abstract
  • Look Inside
  • Reference

 The rectovaginal fistula (RVF) is the existence of a hole between the rectum and the vagina. The RVF is a condition in which contents leak from the rectum to the vagina. The RVF is a relatively rare complication after low anterior resection (LAR) for rectal cancer, but is sometimes difficult to treat. We report two cases of surgical repair of the RVF after LAR by laparoscopy assisted gracilis muscle flap interposition. First, we transperineally peel off between the rectum and the vagina and resect the fistula. Second, we connect the abdominal cavity and the peeled-off layer by using laparoscopy. The gracilis muscle flap is pulled up to the abdominal cavity and sutured to the peritoneum. This procedure using laparoscopy can certainly fix the gracilis muscle flap to the RVF site. The results verified the usefulness of the laparoscopic approach using the gracilis muscle flap in RVF after LAR.


Copyright © 2020, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有