Graciloplasty for the rectovaginal fistula after chemoradiation followed by total mesorectal excision for rectal cancer
Archives of Iranian Medicine. 2013; 16 (1): 54-55
em Inglês
| IMEMR
| ID: emr-130536
ABSTRACT
Rectovaginal fistula [RVF] is one of the intractable complications following chemoradiation and total mesorectal excision [TME] for rectal cancer. It is supposed that there is a strong possibility of this complication occurring in patients after radiation therapy and having underlying sepsis. We describe herein two female patients [73 and 40 years old] who developed RVF after chemoradiation and TME for rectal cancer, who were successfully managed by gracilis muscle transposition. Fecal diversion was done as a preliminary step to the fistula repair. Success was defined as healed fistula after stoma closure. The strategy in the present report is a useful option for RVF management in such patients as other successful modalities are very limited
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Radioterapia
/
Neoplasias Retais
/
Fístula Retovaginal
/
Antineoplásicos
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Arch. Iran. Med.
Ano de publicação:
2013
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