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- Title
TREATMENT OF A RECTO-VESICAL AND A RECTO-VAGINAL FISTULA BY TEM: ONE YEAR EXPRERIANCE OF THE CLINIC OF ENDOSCOPIC SURGERY OF MMA.
- Authors
Kyosev, V.; Hristova, V.; Vasilev, K.; Ivanov, P.; Kotashev, G.; Grigorov, G.; Gajdeva, B.
- Abstract
AIM: The aim of this research is to make a literary survey of the treatment of the recto-vesical and recto-vaginal fistula by TEM according to the world experience and our background and to express attractive clinical cases in one-year experience of the Clinic of Endoscopic surgery. MATERIALS AND METHOD: The recto-vesical and rectovaginal fistula is a serious medical problem causing discomfort in the patients, disturbance of their sexual life, a difficult achieving of a sufficient hygiene and a mental illness. The treatment of the fistula is a long and difficult problem. The mean reason of the recto-vesical fistula is the trauma during the delivery process, the surgery of the bladder, an injury of the rectum after a prostatectomy. The position of the patient on the table depends on the localization of the fistula according to the rectal circumference and the possibility of rotating the patient during the operation. It is obligatory to use antibiotics and to place a urinal catheter preoperatively and to precise how long they should be used. Several cases from our one-year experience of the treatment of the recto-vesical and rectovaginal fistula by TEM are shown. A comparison between our and the world experience is made. RESULTS: Strict evidences are made upon the described research to show in which cases TEM is the right technique in the treatment of the recto-vesical and recto-vaginal fistula and the place of TEM among the other methods of treatment of this disease. CONCLUSION: TEM is a basic element in the diagnostic process and treatment of the recto-vesical and recto- vaginal fistula and is now taken for a golden standard, connected to a shorter hospital stay, a quicker recovery and better results. TEM ensures a better visualization and a possibility for a treatment of the fistula per rectum not including the cases of a neoplastic invasion of the rectum from a near-by organ or if the lesion is 20 sm from the anal edge.
- Publication
Balkan Military Medical Review, 2013, Vol 16, p129
- ISSN
1107-6275
- Publication type
Article