The challenge of pouch-vaginal fistulas: a systematic review

@article{Maslekar2012TheCO,
  title={The challenge of pouch-vaginal fistulas: a systematic review},
  author={Sushil Maslekar and P M Sagar and Deena P. Harji and C. Bruce and Ben Griffiths},
  journal={Techniques in Coloproctology},
  year={2012},
  volume={16},
  pages={405-414}
}
Pouch-vaginal fistulae affect 6 % of women after ileal pouch-anal anastomosis. Such fistulae significantly impact on the patient’s quality of life and present a technical challenge to the surgeon. Although several operative approaches have been described, results from a number of case series are variable and associated with significant rates of failure. As a result, there remains a lack of consensus in the literature with regard to the management of this troublesome problem. The purpose of this… 
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Pouch-Vaginal Fistula: Management
Pouch-vaginal fistula
TLDR
Pouch-vaginal fistula is a dreaded complication after ileal pouch-anal anastomosis creation and can greatly impact patients’ quality of life and consideration should be given for treating this group of women in specialized centers by expert surgeons.
Systematic review on the management of ileoanal pouch–vaginal fistulas after restorative proctocolectomy in the treatment of ulcerative colitis
Ileoanal pouch–vaginal fistula (PVF) is a relatively common complication of restorative proctocolectomy with ileal pouch–anal anastomosis. There are several operative approaches in the management of…
Transvaginal repair of recurrent pouch–vaginal fistula
TLDR
A series of patients who underwent transvaginal repair of pouch–vaginal fistula after failed collagen plugs are reported accompanied by a video to show the operative technique.
The Dysfunctional Pouch
TLDR
The aim of this chapter is to discuss the aetiology of pouch dysfunction and present a structured approach to its management.
Management of Pouch-Vaginal Fistulas
TLDR
Pouch vaginal fistula (PVF) is a specific complication after IPAA, first reported by Wong et al. in 1985, and is a source of considerable morbidity for the patient and a technical challenge for the surgeon.
The pouch behaving badly: management of morbidity after ileal pouch–anal anastomosis
  • M. Deputy, J. Segal, A. Hart
  • Medicine
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
  • 2021
TLDR
This work aims to outline the clinical approach to the pouch behaving badly, highlighting key aspects of investigation and management.
Complex Anorectal Fistulas
TLDR
It is important to convey to the patient the expectations and limitations of surgical treatment, including the need for multiple operations, the risk of failure, and the potential poor anorectal and urinary function.
What Is the Best Surgical Treatment of Pouch-Vaginal Fistulas?
TLDR
Although numerous procedures may be used in an attempt to close pouch-vaginal fistula, pouch advancement and redo pouch were the most successful in closing the fistula.
Pouch-related fistula and intraoperative tricks to prevent it
TLDR
The authors provide their algorithm for managing ileal–pouch-related fistulas based on their etiology (surgical complications, cryptoglandular, or CD) and describe the outcomes of the treatment for pouchrelated fistula after IPAA in a retrospective series from 1989 through 2011.
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References

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TLDR
The results of surgery for ileoanal pouch–vaginal fistula have been disappointing, and a transvaginal approach was developed to achieve direct access to the internal opening, enabling closure without damage to the anal sphincter.
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TLDR
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TLDR
Pouch-vaginal fistula occurs in 6.3 (range, 3.3–15.8) percent of female patients with an ileal pouch–anal anastomosis and is the cause of considerable morbidity.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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