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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.17 - Nº 1 - Abr. 2001

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Rectovaginal and/or vesical anastomotic fistula due to use of mechanical suture in rectal surgery

BERRIEL E; KAMAID TOTH E; ESTRUGO R; CROCI F
Rev Med Urug 2001; 17: 62-70
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Mechanical sutures are largely used in digestive surgery and are part of the usual procedure in low rectal resections.

Two clinical cases of rectovesicovaginal and rectovesicular anastomotic fistula, unusual complications of the circular stapler in the reconstruction of the digestive travel, are reported. This paper stresses the importance of anastomotic fistula, its unusual perisurgical recognition and the emerging difficulties during treatment. Probable causes and prophylaxis are analysed, while a review of the issue is provided.