Ten years of experience with Parks' coloanal sleeve anastomosis for the treatment of post-irradiation rectovaginal fistula

Twenty-four cases of coloanal sleeve anastomosis for the repair of rectovaginal post-irradiation fistula are described. All patients were previously irradiated because of carcinoma of the uterine cervix. Eleven patients had simultaneous repair of vesicovaginal fistula. One postoperative death was ob...

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Bibliographic Details
Published in:	European journal of surgical oncology Vol. 17; no. 6; p. 563
Main Author:	Nowacki, M P
Format:	Journal Article
Language:	English
Published:	England 01-12-1991
Subjects:	Adult Aged Anal Canal - surgery Anastomosis, Surgical - methods Colon - surgery Female Humans Middle Aged Radiation Injuries - surgery Rectovaginal Fistula - etiology Rectovaginal Fistula - surgery Uterine Cervical Neoplasms - radiotherapy
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Summary:	Twenty-four cases of coloanal sleeve anastomosis for the repair of rectovaginal post-irradiation fistula are described. All patients were previously irradiated because of carcinoma of the uterine cervix. Eleven patients had simultaneous repair of vesicovaginal fistula. One postoperative death was observed. Of the 23 surviving patients, functional results were good in 18. In 16 patients with difficult stripping of the rectal mucosa, surgical curettage was performed. The latter procedure is suggested as a useful method in relevant cases.
ISSN:	0748-7983