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rectovaginal fistula/durchfall
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Gracilis transposition for repair of recurrent anovaginal and rectovaginal fistulas in Crohn's disease.
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OBJECTIVE
Local surgical procedures in the presence of Crohn's disease have a markedly reduced success rate, especially in the treatment of recurrent anovaginal and distant rectovaginal fistulas. In these patients, local surgery (e.g., flap closure) has unsatisfactory results if the anal canal is
Rectovaginal fistula: a review of 11 years experience.
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The records of 22 patients at Temple University Hospital with a diagnosis of rectovaginal fistula, from January 1970 to December 1980, were reviewed. The age at the time of diagnosis ranged from 18 to 75 years with an average of 47.3 years. Most had symptoms and signs which included fecal
Rapid recovery of a rectovaginal fistula with infliximab in a patient with Crohn's disease.
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We present the case of a female patient diagnosed with colonic Crohn's disease, having a clinical evolution with many recurrences and in whom conventional therapy had failed. The patient was admitted in our department 4 years after the onset of the disease, with an altered general state, diarrhea,
Rectovaginal fistula during treatment with axitinib in a patient with renal cell carcinoma: a case report and review of the literature.
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Renal cell carcinoma (RCC) is one of the most frequent malignancies of the adults. Its incidence has been increasing steadily by 2-4% each year. Up to 30% of patients present with metastases at diagnosis. It is a highly vascularized cancer because of the hypoxia-induced factor stabilization as a
Early Diagnosis and Hematopoietic Stem Cell Transplantation for IL10R Deficiency Leading to Very Early-Onset Inflammatory Bowel Disease Are Essential in Familial Cases.
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Alterations of immune homeostasis in the gut may result in development of inflammatory bowel disease. A five-month-old girl was referred for recurrent respiratory and genitourinary tract infections, sepsis in neonatal period, chronic diarrhea, perianal abscess, rectovaginal fistula, and hyperemic
Rectal perforation at the time of vaginal mesh placement and subsequent abdominal mesh removal.
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BACKGROUND
We present an uncommon complication of vaginally placed synthetic prolapse mesh and demonstrate repair of rectal mesh perforation.
METHODS
A 41-year-old was referred with multiple complaints following rectocele repair using a posterior vaginal mesh kit 5 months earlier. In the immediate
Management of perianal Crohn's disease. Results of a multicenter study in Italy.
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OBJECTIVE
Management of perianal Crohn's disease is still controversial, and reports on large series are very few in the literature. The aim of this multicenter study was to investigate the outcome of both medical and surgical treatment in 225 patients.
METHODS
Patients cared for at different
Primary perineal rectovaginoanoplasty for supralevator imperforate anus in female neonates.
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Sixteen girls (including 12 neonates), all of whom had supralevator anorectal anomalies usually with a high rectovaginal fistula, were treated by a primary rectovaginoanoplasty. None of these patients had any opening onto the perineum or into the vestibule. Through the perineum, with a dissection
The radiographic appearance of the endorectal pull-through.
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Children and young adults with ulcerative colitis and polyposis syndromes requiring colectomy are increasingly undergoing the endorectal pull-through procedure. We reviewed the contrast studies of the neorectum of 27 patients and the abdominal radiographs in 26 patients after the endorectal
Bowel complications in endometriosis surgery.
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Endometriosis surgery by laparoscopy or laparotomy can be associated with various types of intestinal complications that may occur in the immediate postoperative period or later. They include bowel anastomotic dehiscence, rectovaginal fistula, anastomotic bleeding, intra-abdominal infections, wound
Surgical Interventions and the Use of Device-Aided Therapy for the Treatment of Fecal Incontinence and Defecatory Disorders.
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The purpose of this clinical practice update expert review is to describe the key principles in the use of surgical interventions and device-aided therapy for managing fecal incontinence (FI) and defecatory disorders. The best practices outlined in this review are based on relevant publications,
A New Reusable Platform for TransAnal Minimally Invasive Surgery: First Experience.
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BACKGROUND
TransAnal Minimally Invasive Surgery (TAMIS) has generated interest and attracted research in the last decade. This approach is used to treat primary benign and malignant diseases, but it can also be adopted to resolve colorectal complications, such as leak and fistula, bleeding and
[Intravesical or intrarectal instillation of maalox for the treatment of radiation cystitis or proctitis].
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Intravesical or intrarectal instillation of Maalox, a well-known material for protection of mucous epithelia, was performed in 3 cases of radiation cystitis and one case of radiation proctitis, resulting insuccessful control of hemorrhage. 4 cases of uterine cervical cancer with radiotherapy,
Effects of continuous low-dose-rate brachytherapy on the rectum of the rat.
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The dose-limiting factor in essentially all curative radiotherapy is damage to normal tissue. In spite of this, our understanding of radiation-induced damage to normal tissue leaves much to be desired. Damage to the rectum is often observed after clinical brachytherapy of pelvic malignancies. A
Cytomegalovirus colitis in individuals without apparent cause of immunodeficiency.
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Cytomegalovirus infection is usually reported in immunocompromised patients. In this study, apparently immunocompetent patients with cytomegaloviral colitis were reviewed. Records with a diagnosis of cytomegaloviral colitis from January 1989 to June 1996 were retrieved for analysis. Ten patients
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