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  • Title: Rectovaginal fistula after STARR procedure complicated by haematoma of the posterior vaginal wall: report of a case.
    Author: Bassi R, Rademacher J, Savoia A.
    Journal: Tech Coloproctol; 2006 Dec; 10(4):361-3. PubMed ID: 17115306.
    Abstract:
    We report the case of a patient treated with the stapled transanal rectal resection (STARR) procedure for obstructed defecation, who developed an early postoperative haematoma of the posterior vaginal wall and, after 30 days, a rectovaginal fistula (RVF), even though the intervention had been performed according to the standardized technique. After clinical examination and three-dimensional anal endosonography, we carried out a successful surgical correction with double vaginal and rectal flaps with repair of the rectovaginal septum and without faecal diversion. The STARR procedure, even if performed according to a rigorous application of the methodological standards, may be followed by a RVF possibly due to a blood collection leading to ischaemia of the vaginal wall.
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