The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report
<b>Background and Clinical Significance</b>: Recto-vaginal fistulae (RVF) and fecal incontinence (FI) pose significant challenges for colorectal surgeons. Various therapeutic options have been proposed for each condition over time. Despite its procedural complexity and the risk of compli...
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2025-01-01
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| author | Alessandro Bergna Jacques Megevand Giacomo Mori Leonardo Lenisa Andrea Rusconi |
| author_facet | Alessandro Bergna Jacques Megevand Giacomo Mori Leonardo Lenisa Andrea Rusconi |
| author_sort | Alessandro Bergna |
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| description | <b>Background and Clinical Significance</b>: Recto-vaginal fistulae (RVF) and fecal incontinence (FI) pose significant challenges for colorectal surgeons. Various therapeutic options have been proposed for each condition over time. Despite its procedural complexity and the risk of complications, graciloplasty remains a viable therapeutic option for both conditions, with favorable long-term results. To our knowledge, this is the first report of a case where the need to treat both conditions concurrently arose. <b>Case Presentation</b>: We report the case of a 54-year-old woman with severe FI and repeatedly operated on recurrent recto-vaginal fistula. The patient underwent graciloplasty to provide healthy tissue with an adequate vascular supply to both enhance the healing process of the fistula and reshape the anal canal with a circular muscular structure. Following the procedure, the patient experienced prompt symptom resolution and good clinical and functional recovery at a 1-year follow-up evaluation. <b>Conclusions</b>: This case report highlights the safety and effectiveness of an overlooked procedure for the treatment of large sphincter defects and concurrent recto-vaginal or recto-vaginal tears. |
| format | Article |
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| institution | Kabale University |
| issn | 2571-841X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Reports |
| spelling | doaj-art-42c43d8d8fb147b99ce6ee57ba2c131c2025-08-20T03:43:40ZengMDPI AGReports2571-841X2025-01-01811110.3390/reports8010011The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case ReportAlessandro Bergna0Jacques Megevand1Giacomo Mori2Leonardo Lenisa3Andrea Rusconi4Department of General Surgery, Humanitas San Pio X, 20159 Milan, ItalyDepartment of General Surgery, Humanitas San Pio X, 20159 Milan, ItalyDepartment of General Surgery, Humanitas Clinical and Research Center, 20089 Rozzano, ItalyDepartment of General Surgery, Humanitas San Pio X, 20159 Milan, ItalyDepartment of General Surgery, Humanitas San Pio X, 20159 Milan, Italy<b>Background and Clinical Significance</b>: Recto-vaginal fistulae (RVF) and fecal incontinence (FI) pose significant challenges for colorectal surgeons. Various therapeutic options have been proposed for each condition over time. Despite its procedural complexity and the risk of complications, graciloplasty remains a viable therapeutic option for both conditions, with favorable long-term results. To our knowledge, this is the first report of a case where the need to treat both conditions concurrently arose. <b>Case Presentation</b>: We report the case of a 54-year-old woman with severe FI and repeatedly operated on recurrent recto-vaginal fistula. The patient underwent graciloplasty to provide healthy tissue with an adequate vascular supply to both enhance the healing process of the fistula and reshape the anal canal with a circular muscular structure. Following the procedure, the patient experienced prompt symptom resolution and good clinical and functional recovery at a 1-year follow-up evaluation. <b>Conclusions</b>: This case report highlights the safety and effectiveness of an overlooked procedure for the treatment of large sphincter defects and concurrent recto-vaginal or recto-vaginal tears.https://www.mdpi.com/2571-841X/8/1/11ano-vaginal fistularecto-vaginal fistulaobstetric anal sphincter injuryfecal incontinencegraciloplastycase report |
| spellingShingle | Alessandro Bergna Jacques Megevand Giacomo Mori Leonardo Lenisa Andrea Rusconi The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report Reports ano-vaginal fistula recto-vaginal fistula obstetric anal sphincter injury fecal incontinence graciloplasty case report |
| title | The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report |
| title_full | The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report |
| title_fullStr | The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report |
| title_full_unstemmed | The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report |
| title_short | The Role of Graciloplasty in the Treatment of Obstetric Anal Sphincter Injury with Subsequent Fecal Incontinence and Recurrent Low Recto-Vaginal Fistula: A Case Report |
| title_sort | role of graciloplasty in the treatment of obstetric anal sphincter injury with subsequent fecal incontinence and recurrent low recto vaginal fistula a case report |
| topic | ano-vaginal fistula recto-vaginal fistula obstetric anal sphincter injury fecal incontinence graciloplasty case report |
| url | https://www.mdpi.com/2571-841X/8/1/11 |
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