Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series

Introduction. Interest in transanal endoscopic surgery has increased in the last decade. This approach allows primary procedures such as polypectomy, local tumor excision, as well as the treatment of postoperative complications including bleeding, leakage and fistula formation. The aim of this study...

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Autores principales:	Rosita De Vincenti, Fabio Cianchi, Francesco Coratti
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	transanal endoscopic microsurgery transanal endoscopic surgery rectovaginal fistula minimally invasive surgery Medicine R
Acceso en línea:	https://doaj.org/article/9bed50460da74f44a22b3908df1271d8
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spelling	oai:doaj.org-article:9bed50460da74f44a22b3908df1271d82021-11-14T08:12:17ZTransanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series2783-243010.30476/acrr.2020.85927.1040https://doaj.org/article/9bed50460da74f44a22b3908df1271d82020-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46978_3946e925364bbd246ff8ae7ce1dd99d6.pdfhttps://doaj.org/toc/2783-2430Introduction. Interest in transanal endoscopic surgery has increased in the last decade. This approach allows primary procedures such as polypectomy, local tumor excision, as well as the treatment of postoperative complications including bleeding, leakage and fistula formation. The aim of this study was to describe our group’s use of Transanal endoscopic operation (TEO) in the repair of fistulae and anastomotic leakage, performed by one experienced surgeon (F.C.). Case presentation. Here, we describe three patients who developed postoperative complications after been subjected to anterior rectal resection. One of them developed a leakage of the anastomosis in third postoperative day, the others developed recurrent fistulae a long time after the surgery. These complications were all treated using TEO (transanal endoscopic operation) platform. The transanal procedure in one case was performed three times, because of the recurrence of the fistula. In another case it was associated with laparoscopy to treat peritonitis occurred after anastomotic disruption. In the last case, the patient had history of years of fistula recurrence associated with pelvic abscess, TEO approach proved to be determinant in the resolution of the problem. In all cases the transanal surgery definitively repaired the defect, the patients were discharged and, up to date, they are without recurrence. Conclusions. Thus, in the hands of experienced surgeons and in selected cases, TEO system appears to be a valid option to treat post-operative complications, such as fistulae and anastomotic leakage, avoiding major surgery with greater associated morbidity and showing excellent results.Rosita De VincentiFabio CianchiFrancesco CorattiShiraz University of Medical Sciencesarticletransanal endoscopic microsurgerytransanal endoscopic surgeryrectovaginal fistulaminimally invasive surgeryMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 3, Pp 148-151 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	transanal endoscopic microsurgery transanal endoscopic surgery rectovaginal fistula minimally invasive surgery Medicine R
spellingShingle	transanal endoscopic microsurgery transanal endoscopic surgery rectovaginal fistula minimally invasive surgery Medicine R Rosita De Vincenti Fabio Cianchi Francesco Coratti Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series
description	Introduction. Interest in transanal endoscopic surgery has increased in the last decade. This approach allows primary procedures such as polypectomy, local tumor excision, as well as the treatment of postoperative complications including bleeding, leakage and fistula formation. The aim of this study was to describe our group’s use of Transanal endoscopic operation (TEO) in the repair of fistulae and anastomotic leakage, performed by one experienced surgeon (F.C.). Case presentation. Here, we describe three patients who developed postoperative complications after been subjected to anterior rectal resection. One of them developed a leakage of the anastomosis in third postoperative day, the others developed recurrent fistulae a long time after the surgery. These complications were all treated using TEO (transanal endoscopic operation) platform. The transanal procedure in one case was performed three times, because of the recurrence of the fistula. In another case it was associated with laparoscopy to treat peritonitis occurred after anastomotic disruption. In the last case, the patient had history of years of fistula recurrence associated with pelvic abscess, TEO approach proved to be determinant in the resolution of the problem. In all cases the transanal surgery definitively repaired the defect, the patients were discharged and, up to date, they are without recurrence. Conclusions. Thus, in the hands of experienced surgeons and in selected cases, TEO system appears to be a valid option to treat post-operative complications, such as fistulae and anastomotic leakage, avoiding major surgery with greater associated morbidity and showing excellent results.
format	article
author	Rosita De Vincenti Fabio Cianchi Francesco Coratti
author_facet	Rosita De Vincenti Fabio Cianchi Francesco Coratti
author_sort	Rosita De Vincenti
title	Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series
title_short	Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series
title_full	Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series
title_fullStr	Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series
title_full_unstemmed	Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series
title_sort	transanal endoscopic operation (teo) repair of rectovaginal fistula and anastomotic leakage: a case series
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/9bed50460da74f44a22b3908df1271d8
work_keys_str_mv	AT rositadevincenti transanalendoscopicoperationteorepairofrectovaginalfistulaandanastomoticleakageacaseseries AT fabiocianchi transanalendoscopicoperationteorepairofrectovaginalfistulaandanastomoticleakageacaseseries AT francescocoratti transanalendoscopicoperationteorepairofrectovaginalfistulaandanastomoticleakageacaseseries
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Transanal endoscopic operation (TEO) repair of rectovaginal fistula and anastomotic leakage: a case series

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