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Colonic J pouch-anal reconstruction with gluteus maximus transposition for a post-irradiation rectovaginal fistula
M Kusunoki1, Y Shoji, H Yanagi
1Second Department of Surgery, Hyogo College of Medicine, Japan.
Hepato-Gastroenterology
|September 1, 1996
Abstract:
A 44-year-old female with rectal cancer underwent anoabdominal rectal resection and colonic J pouch-anal anastomosis after preoperative intraluminal brachytherapy. Pelvic sepsis developed a rectovaginal fistula. We attempted to close the fistula and restore the anal function with coloanal re-anastomosis and bilateral gluteus maximus transposition. She regained good anal function without recurrence of the fistula.