Evidence map›Paper›PMID 41971776›Full record

ArticleCRSLS : MIS case reports from SLS

Long-Term Complication: Colovaginal Fistula Nine Years after Laparoscopic Sacrocolpopexy.

Su Wang, Yuna Gao, Liquan Chen, Lizhen Xu, Zezhen Liu, Xiaowei Zhang, Doreen E Chung

Abstract readCase Reports
In one paragraph

Article in CRSLS : MIS case reports from SLS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Su WangDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China. (Drs. Wang, Chen, Xu, and Zhang).
Yuna GaoDepartment of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. (Drs. Gao and Liu).
Liquan ChenDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China. (Drs. Wang, Chen, Xu, and Zhang).
Lizhen XuDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China. (Drs. Wang, Chen, Xu, and Zhang).
Zezhen LiuDepartment of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. (Drs. Gao and Liu).
Xiaowei ZhangDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China. (Drs. Wang, Chen, Xu, and Zhang).
Doreen E ChungDepartment of Urology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, New York, New York, USA. (Dr. Chung).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colovaginal fistula (CVF) is a rare, late complication of laparoscopic sacrocolpopexy that significantly impairs quality of life. We report a case occurring 9 years postoperatively to highlight its presentation and management. Case: A G3P3 woman in her seventies presented with yellow, foul-smelling vaginal discharge 9 years after laparoscopic total hysterectomy with sacrocolpopexy. Colonoscopy revealed a rectovaginal fistula; histology excluded diverticular disease. A multidisciplinary team performed laparoscopic removal of the eroded mesh and sigmoid resection with primary anastomosis. At 1-year follow-up the vagina was completely healed and the patient reported no further abnormal discharge. Conclusion: CVF may arise almost a decade after sacrocolpopexy. A high index of suspicion, prompt multidisciplinary surgery and long-term surveillance are essential for optimal outcomes.

Indexed as

Intestinal FistulaLaparoscopyPostoperative ComplicationsVaginal FistulaAgedFemaleHumansHysterectomyColovaginal fistulaLaparoscopic sacrocolpopexyLong-term complicationMultidisciplinary approachPelvic organ prolapse

Identifiers

PMID41971776
PMCPMC13063779

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.