Best of IGCS 2022 Annual Global Meeting-Multidisciplinary Approach for Robotic Repair of Rectovaginal Fistula in a Patient With a History of Rectal Cancer

Multidisciplinary Approach for Robotic Repair of Rectovaginal Fistula in a Patient With a History of Rectal Cancer

Video Transcription

Video Summary

The video presents a case of a 55-year-old patient who had previously undergone surgery for rectal sigmoid colon cancer with complications of anastomotic leak and pelvic abscess. The patient later developed a rectal marginal fistula, which could not be repaired endoscopically. Robotic-assisted laparoscopic repair was performed, along with the removal of the fallopian tubes and ovaries. The procedure involved mobilizing the omentum, dissecting the posterior cul-de-sac, and separating the fibrotic vaginal tissue from the rectum. The fistula was repaired, and the ureters were confirmed to be intact. The patient recovered well without complications and showed no signs of a recurrent fistula during follow-up. No credits were mentioned in the transcript.

Keywords

rectal sigmoid colon cancer

anastomotic leak

pelvic abscess

rectal marginal fistula

robotic-assisted laparoscopic repair