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…
21 Citations
Pouch-vaginal fistula
- MedicineSeminars in Colon and Rectal Surgery
- 2019
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
- MedicineColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
- 2020
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
- MedicineColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
- 2014
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
- Medicine
- 2017
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
- Medicine
- 2017
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
- MedicineColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
- 2021
This work aims to outline the clinical approach to the pouch behaving badly, highlighting key aspects of investigation and management.
Complex Anorectal Fistulas
- Medicine
- 2016
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?
- MedicineDiseases of the colon and rectum
- 2019
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
- MedicineTechniques in Coloproctology
- 2014
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.
References
SHOWING 1-10 OF 46 REFERENCES
Transvaginal repair of pouch–vaginal fistula
- MedicineThe British journal of surgery
- 2001
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.
Ileal pouch vaginal fistulas: Incidence, etiology, and management
- MedicineDiseases of the colon and rectum
- 1989
The risk factors which predispose to the development of a pouch vaginal fistula, as well as the various treatment options available, are detailed.
Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review
- MedicineDiseases of the colon and rectum
- 2005
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.
Surgical management of pouch-vaginal fistula after restorative proctocolectomy.
- MedicineJournal of the American College of Surgeons
- 2006
Pouch–vaginal fistula after restorative proctocolectomy: Aetiology and management
- MedicineThe British journal of surgery
- 1994
Pouch‐vaginal fistula is a rare complication following restorative proctocolectomy and in seven patients who developed such a fistula, treatment was successful in the patients who presented early, and these remain continent with functioning pouches.
Management and Outcome of Pouch-Vaginal Fistulas Following Restorative Proctocolectomy
- MedicineDiseases of the colon and rectum
- 2005
The pouch-vaginal fistula–free survival improved with repeated local or abdominal repairs for patients with ulcerative colitis, and repair in those patients with Crohn’s disease uniformly failed within five years from primary repair.
Ileal pouch–vaginal fistula treated by abdominoanal advancement of the ileal pouch
- MedicineThe British journal of surgery
- 2003
Intestinal continuity was restored by an abdominal approach, creating a new ileal pouch–anal anastomosis within the mid anal canal.
Repair of rectovaginal fistulas.
- MedicineSurgery, gynecology & obstetrics
- 1978
Twenty patients with rectovaginal fistulas involving the middle portion of the rectovaginal septum were repaired without failure. The transanal approach would appear to be superior since it allows…
Surgical therapy for rectovaginal fistulas in ulcerative colitis
- MedicineDiseases of the colon and rectum
- 1991
It is believed that rectovaginal fistulas occur more frequently in UC than is generally accepted, and they can be safely managed with current reconstructive techniques.
Management and Treatment Outcome of Pouch-Vaginal Fistulas Following Restorative Proctocolectomy
- MedicineDiseases of the colon and rectum
- 2003
Pouch-vaginal fistulas are a difficult problem in females following restorative proctocolectomy, but local repair can be successful with good functional outcomes and a delayed diagnosis of Crohn’s disease results in worse treatment outcome and higher pouch failure rates.