ArticleAnnals of surgical treatment and research2019
Optimal strategies of rectovaginal fistula after rectal cancer surgery.
Article in Annals of surgical treatment and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- The Essential Role of High-resolution MRI Fistulogram Imaging with Ultrasound Gel Enema in Diagnosing Complex Rectovaginal Fistulas Post-Chemoradiation for Rectal Cancer: A Case Study Review.Current medical imaging · 2026Review
- Colorectal-vaginal fistula after rectal cancer resection: international comparative cohort study of characteristics and treatment.The British journal of surgery · 2025Article
- Article
- Treatment of both rectovaginal fistula and anal stricture with single skin flap.Techniques in coloproctology · 2024Article
- [Rectovaginal fistulas : Differentiated diagnostics and treatment].Chirurgie (Heidelberg, Germany) · 2024Review
- Postoperative rectovaginal fistula: stoma may not be necessary-a French retrospective cohort.Techniques in coloproctology · 2024Article
- Successful omental flap coverage repair of a rectovaginal fistula after low anterior resection: a case report.Surgical case reports · 2023Article
- Treatment of Rectovaginal Fistula.Journal of the anus, rectum and colon · 2023Review
- Endoscopic vacuum-assisted surgical closure (EVASC) of anastomotic defects after low anterior resection for rectal cancer; lessons learned.Surgical endoscopy · 2022Article
- Impact of near-infrared fluorescence imaging with indocyanine green on structural sequelae of anastomotic leakage after laparoscopic intersphincteric resection of malignant rectal tumors.Techniques in coloproctology · 2022Article
- Bartholin's gland abscess a rare cause of rectovaginal fistula: A case report and literature review.International journal of surgery case reports · 2021Article
- Rectovaginal fistula after low anterior resection: Prevention and management.World journal of gastrointestinal surgery · 2021Review
- The treatment for refractory rectovaginal fistula after low anterior resection with estriol, polyglycolic acid sheets and primary closure: A case report.International journal of surgery case reports · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRectovaginal fistula (RVF) after low anterior resection for rectal cancer is a type of anastomotic leakage. The aim of this study was to find out the difference of leakage, according to RVF presence or absence and to identify the optimal strategy for RVF.
methodsAll female patients who underwent low anterior resection with colorectal anastomosis or coloanal anastomosis (n = 950) were retrospectively analyzed. Patients' demographics and perioperative outcomes were analyzed between the RVF group and leakage without the RVF (nRVF) group. We performed 4 types of procedures-primary repair, diverting stoma, redo coloanal anastomosis (RCA), and conservative procedure-to treat RVF, and calculated the success rates of each type of procedure.
resultsThe leakage occurred in 47 patients (4.9%). Among them, 18 patients (1.9%) underwent an RVF and 29 (3.0%) underwent nRVF. The RVF group received more perioperative radiotherapy (27.8%
conclusionAfter low anterior resection for rectal cancer, RVF was strongly correlated with a lower level of primary tumor location. Among the patients who underwent leakages, receipt of perioperative radiotherapy was significantly high in the RVF group than that of the nRVF group. Additionally, this study suggests that RCA might be considered another successful treatment strategy for RVF.
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