TITLE

Patch Repair of Ileoanal Pouch-Vaginal Fistula with Permacol Collagen Implant

AUTHOR(S)
Smith, Maurice; Hooks, Vendie H.; Jenkins, Barry
PUB. DATE
May 2007
SOURCE
American Surgeon;May2007, Vol. 73 Issue 5, p514
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Though uncommon, ileoanal pouch-vaginal fistulas after restorative proctocolectomy present quite a challenge. Multiple salvage procedures, including endoanal, transabdominal, and transvaginal, have been used. Because of high recurrence rates, multiple operations are not uncommon, and ultimate pouch failure rates have been reported as high as 45 per cent. The Permacolâ„¢ Collagen Implant is a surgical implant that has been used successfully in a variety of operations ranging from urological to maxillofacial. Its properties allow fibroblast infiltration and revascularization so that it gradually becomes permanently incorporated into the surrounding tissue, providing strength and inhibiting scarring and contraction. We report the first documented case of Permacolâ„¢ use in repair of ileoanal pouch-vaginal fistula and we feel that it warrants further investigation as an option in the treatment of these fistulas.
ACCESSION #
25013673

 

Related Articles

  • The challenge of pouch-vaginal fistulas: a systematic review. Maslekar, S.; Sagar, P.; Harji, D.; Bruce, C.; Griffiths, B. // Techniques in Coloproctology;Dec2012, Vol. 16 Issue 6, p405 

    Pouch-vaginal fistulae affect 6 % of women after ileal pouch-anal anastomosis. Such fistulae significantly impact on the patient's quality of life and present a technical challenge to the surgeon. Although several operative approaches have been described, results from a number of case series are...

  • Recurrent Fistula between Ileal Pouch and Vagina--Successful Treatment with a Gracilis Muscle Flap. Aydin, Feride; Eisenberger, Claus Ferdinand; Raffel, Andreas; Rehders, Alexander; Hosch, Stefan Benedikt; Knoefel, Wolfram Trudo // Case Reports in Medicine;2009, p1 

    Fistulae between an ileal pouch and the vagina are an uncommon complication of ileal pouch-anal anastomosis following proctocolectomy and mucosectomy in patients with familial adenomatous polyposis coli. Several reports describe the successful use of muscle flaps to close recurrent...

  • Percutaneous retrieval of a biliary stent after migration and ileal perforation. Culnan, Derek M.; Cicuto, Bryan J.; Singh, Harjit; Cherry, Robert A. // World Journal of Emergency Surgery;2009, Vol. 4, p1 

    We present a case of a migrated biliary stent that resulted in a distal small bowel perforation, abscess formation and high grade partial small bowel obstruction in a medically stable patient without signs of sepsis or diffuse peritonitis. We performed a percutaneous drainage of the abscess...

  • A novel approach to management of a sacral defect in ileal pouch-sacral fistula. Privitera, Antonio; Dozois, Eric J // Journal of Surgical Case Reports;Nov2012, Vol. 2012 Issue 11, p1 

    Fistula formation after restorative proctocolectomy poses a challenge to the surgeon and sometimes can lead to the excision of the pouch. While pouch-vaginal fistulas are more common, pouch-sacral fistulas are a rare event and treatment is still controversial. The authors report a case of...

  • HISTOLOGICAL EVALUATION OF PERI-IMPLANT SOFT TISSUES IN IMMEDIATELY LOADED IMPLANTS FEATURING DIFFERENT IMPLANT-ABUTMENT CONNECTIONS: A PRELIMINARY STUDY. GUERRA, M.; VOZZA, I.; QUARANTA, A. // European Journal of Inflammation (BIOLIFE, s.a.s.);Jan-Apr2012, Vol. 10 Issue 1, p91 

    The aim of the present study is to evaluate the peri-implant soft tissues and the amount of inflammatory cells around two different implant-abutment connections (self-locking conical connection with platform switching and screwed connection with standard abutment and internal anti-rotational...

  • Autologous growth factors used for the treatment of recurrent fistula-in-ano preliminary results. Kucharczyk, A.; Kołodziejczak, M.; Sudoł-Szopińska, I.; Bielecki, K. // Techniques in Coloproctology;Mar2014, Vol. 18 Issue 3, p317 

    The article presents a case study of a 50-year-old male patient who underwent surgery for recurrent suprasphincteric posterior horseshoe fistula. The patient underwent curettage of the fistula prior to the surgery. The article also discusses the use of autologous growth factors for the treatment...

  • Ileal pouch fistulas after restorative proctocolectomy: management and outcomes. Gaertner, W.; Witt, J.; Madoff, R.; Mellgren, A.; Finne, C.; Spencer, M. // Techniques in Coloproctology;Nov2014, Vol. 18 Issue 11, p1061 

    Background: Fistula between an ileal pouch and the vagina, anus, or perineum is an uncommon complication of ileal pouch-anal anastomosis and is a cause of considerable morbidity. Its optimal management has not been determined because of its low incidence. The aim of this study was to review the...

  • Effect of anorectal eversion on long-term clinical outcome of restorative proctocolectomy. DeFriend, D. J.; Mughal, M.; Grace, R. H.; Schofield, P. F. // Journal of the Royal Society of Medicine;Jul1997, Vol. 90 Issue 7, p375 

    Eversion of the rectum during restorative proctocolectomy with stapled ileal pouch-anal anastomosis (IPAA) remains a controversial surgical manoeuvre because of concern that it may impair anal sphincter function and adversely affect outcome. We have reviewed the long-term results in 41 patients...

  • Superior Mesenteric Artery Syndrome After Restorative Proctocolectomy With Ileal Pouch-Anal Anastomosis: A Case Report. Haddow, James B.; Sangal, Sam; Agarwal, Pradeep K. // Internet Journal of Surgery;2007, Vol. 13 Issue 1, p20 

    Purpose: Superior mesenteric artery syndrome (SMAS) is a rare complication following restorative proctocolectomy with only eight previous reports. We report the case of a 16-year-old girl known to have familial adenomatous polyposis who underwent a restorative proctocolectomy with an ileal...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics