The First Case of Management of the Rectovaginal Fistule Using
Transanal Endocsopic Microsurgery
Vávra P.1, Anděl P.1, Dostalík J.1, Guňková P.1, Pelikán A.1, Guňka I.1, Martínek L.1, Vávrová M.2, Spurný P.1, Čuřík R.3, Koliba P.4
1Chirurgická klinika FNsP Ostrava-Poruba, přednosta doc. MUDr. J. Dostalík, CSc. 2Radiodiagnostický ústav FNsP Ostrava-Poruba, přednostka MUDr. S. Skotnicová 3Ústav patologické anatomie, FNsP Ostrava-Poruba, přednosta MUDr. R. Čuřík 4Gynekologicko-porodnická klinika, FNsP Ostrava-Poruba, přednosta MUDr. P. Koliba, CSc. |
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Summary:
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
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