Federico Spelzini1, Matteo Frigerio2, Stefano Manodoro2, Debora Verri2, Elena Nicoli2, Rodolfo Milani2. 1. Università Milano Bicocca, Azienda Ospedaliera San Gerardo, Via Pergolesi, 33-20900, Monza, MB, Italy. federico.spelzini@gmail.com. 2. Università Milano Bicocca, Azienda Ospedaliera San Gerardo, Via Pergolesi, 33-20900, Monza, MB, Italy.
Abstract
INTRODUCTION AND HYPOTHESIS: Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair. METHODS: A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps. RESULTS: Anatomy and fecal continence have been completely restored by a follow-up of 24 months. CONCLUSION: The procedure described in this video has been shown to be effective and safe.
INTRODUCTION AND HYPOTHESIS: Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair. METHODS: A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps. RESULTS: Anatomy and fecal continence have been completely restored by a follow-up of 24 months. CONCLUSION: The procedure described in this video has been shown to be effective and safe.