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

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;  P. 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


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

Surgery Orthopaedics Trauma surgery

Article was published in

Perspectives in Surgery

Issue 2

2006 Issue 2

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