Laparoscopic management of a congenital H‑type rectovaginal fistula in an infant
作者
Yu‑Tang Chang
卷期/出版年月
55卷1期 (2022/2)
頁次
31-33
摘要
Congenital H‑type rectovaginal fistula with a normal anal opening is a rare malformation. The authors encountered such a case in a 2‑month‑old girl. Both direct inspection and fluoroscopic examination did not identify the location of the fistula, but passage of contrast media through the vagina was observed.
Using a 3‑port transperitoneal laparoscopic technique, complete resection of the fistula was successfully performed. Without a protecting colostomy, laparoscopic approach appeared to be safe and feasible in an infant with an H‑type rectovaginal fistula and a normal anal opening. Division of pelvic muscle floor
and perineal dissection could be successfully avoided.