Parks' coloanal sleeve anastomosis for treatment of postirradiation rectovaginal fistula

Journal Article · Mon Dec 01 00:00:00 EST 1986 · Dis. Colon Rectum; (United States)

DOI:https://doi.org/10.1007/BF02555353· OSTI ID:6789824

Nowacki, M P; Szawlowski, A W; Borkowski, A

Postirradiation rectovaginal fistula is a complex problem in colorectal surgery. The modified Parks procedure curettage of rectal mucosa heavily damaged by radiation is introduced. Fifteen cases of coloanal sleeve anastomosis for the repair of rectovaginal postirradiation fistula are described. All patients previously were irradiated heavily because of carcinoma of the uterine cervix. Three patients had simultaneous repair of vesicovaginal fistula. One postoperative death was observed. Of the surviving patients, functional results have been good in 11. In the seven patients with difficult stripping of the rectal mucosa, surgical curettage was performed. The latter procedure is suggested as the method of choice in relevant cases.

• Research Organization: Maria Sklodowska-Curie Memorial Institute, Warsaw, Poland
• OSTI ID: 6789824
• Journal Information: Dis. Colon Rectum; (United States), Vol. 12
• Country of Publication: United States
• Language: English

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