Successful laparoscopy-assisted repair of a rectovaginal fistula after low anterior resection for rectal cancer: a report of two cases

Abstract Background Rectovaginal fistula (RVF) after low anterior resection for rectal cancer is troublesome and refractory. Although various surgical procedures have been previously described, no definitive procedure has shown a satisfactory outcome. We present two consecutive Japanese patients who underwent successful surgery an RVF resection. Case presentation The were women (61-year-old 64-year-old). They admitted to our hospital with chief complaint of fecal discharge from the vagina using double-stapling technique cancer. diagnosed RVF. Local procedures, including diverting ileostomy, unsuccessful in previous hospitals. Therefore, we performed laparoscopy-assisted repair In both patients, laparoscopically robust pelvic adhesions dissected, sigmoid colon was transected at just oral side Thereafter, combination perineal approach, rectum, along anastomosis fistula, completely removed. Surgeries completed vaginal repair, redo coloanal anastomosis, interposition dissected connective tissue. postoperative courses uneventful. complained neither recurrence any nor incontinence 1 year 10 months stoma closure. Conclusions A reanastomosis tissue can be effective treatment