The First Case of Management of the Rectovaginal Fistule Using Transanal Endocsopic Microsurgery

Czech version

Authors: P. Vávra ¹; P. Anděl ¹; J. Dostalík ¹; P. Guňková ¹; A. Pelikán ¹; I. Guňka ¹; L. Martínek ¹; M. Vávrová ²; P. Spurný ¹; R. Čuřík ³; Peter Koliba ⁴
Authors‘ workplace: Chirurgická klinika FNsP Ostrava-Poruba, přednosta doc. MUDr. J. Dostalík, CSc. ¹; Radiodiagnostický ústav FNsP Ostrava-Poruba, přednostka MUDr. S. Skotnicová ²; Ústav patologické anatomie, FNsP Ostrava-Poruba, přednosta MUDr. R. Čuřík ³; Gynekologicko-porodnická klinika, FNsP Ostrava-Poruba, přednosta MUDr. P. Koliba, CSc. ⁴
Published in: Rozhl. Chir., 2006, roč. 85, č. 2, s. 82-85.
Category: Monothematic special - Original

Overview

The authors present an unusual and, according to the available literature data, so far unused method –⁠ management of the rectovaginal fistule, using a T.E.M. technique (transanal endoscopic microsurgery). In their case-review of a female patient, they present advantages of this technique in a case of a rare disorder –⁠ a benign rectovaginal fistule. All of the following –⁠ employement of a harmonic scalpel in the T.E.M. method, as well as of a tissue adhesive Tissucol and of a surgical rectoscope in the vaginal phase of the procedure, deserve attention of surgeons and gynaecologists.

Key words:
rectovaginal fistule –⁠ T.E.M. –⁠ non-traditional approach