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Date Published: 15/11/2023
Abstract Views: 100
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DOI: https://doi.org/10.51298/vmj.v531i2.7202
Issue
Vol. 531 No. 2 (2023)
Section
Các bài báo
How to Cite
Ngô , D. M. ., Nguyễn , T. L. ., Phạm , D. H., & Trần , A. Q. . (2023). LONG – TERM OUTCOMES OF TREATMENT RECTOURETHRAL FISTULA BY COMBINED LAPAROSCOPIC AND MODIFIED POSTERIOR SAGITTAL APPROACH SAVING THE EXTERNAL SPHINCTER. Vietnam Medical Journal, 531(2). https://doi.org/10.51298/vmj.v531i2.7202

LONG – TERM OUTCOMES OF TREATMENT RECTOURETHRAL FISTULA BY COMBINED LAPAROSCOPIC AND MODIFIED POSTERIOR SAGITTAL APPROACH SAVING THE EXTERNAL SPHINCTER

Duy Minh Ngô 1,, Thanh Liêm Nguyễn 2, Duy Hiền Phạm 2, Anh Quỳnh Trần 2
1 HMU
2 Vietnam National Children's Hospital.

Main Article Content

Abstract

Objectives: The aim of this study was to evaluate long - term results of  rectourethral fistula treatment by combined laparoscopic and modified posterior sagittal approach saving the external sphincter. Patients and methods: All patients with rectourethral fistula treated by the same mentioned technique between April 2017 and April 2020 were retrospectively studied. Results:  Laparoscopic and modified posterior sagittal approach saving the external sphincter was completed on 52 patients with rectourethral fistula, including 25 patients with rectoprostate fistulas and 27 patients with rectobulbar fistulas. Mean operative time was 57.8  ± 5.7 minutes (48 to 80 minutes). There were no intraoperative complications and no perioperative mortalities. The mean hospital stay was 5.1 ± 0.9 days. As for the long-term results, constipation rate was 13.3%, Soiling rate was 46,7%, totally continent rate was  82.3%. Conclusion: Combined laparoscopic and modified posterior sagittal approach saving the external sphincter is feasible and safe for rectourethral fistula. Long-term follow-up shows a high rate of totally continent defecation.

Article Details

Keywords

Rectourethral fistula, Combined laparoscopic and modified posterior sagittal approach, external sphincter.

References

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