Publikasi Scopus 2024 per tanggal 30 Juni 2024 (499 artikel)

Moegni F.; Kouwagam A.D.; Hakim S.; Priyatini T.; Meutia A.P.; Santoso B.I.
Moegni, Fernandi (55450456100); Kouwagam, Anggrainy Dwifitriana (57225978823); Hakim, Surahman (57192276095); Priyatini, Tyas (57192265423); Meutia, Alfa Putri (57203368133); Santoso, Budi Iman (57201498069)
55450456100; 57225978823; 57192276095; 57192265423; 57203368133; 57201498069
Rectovaginal fistula as a complication of rectal injury during vaginal reconstructive surgery: A case report
2024
International Journal of Surgery Case Reports
120
109856
0
Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia
Moegni F., Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia; Kouwagam A.D., Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia; Hakim S., Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia; Priyatini T., Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia; Meutia A.P., Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia; Santoso B.I., Division of Urogynecology and Reconstruction, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo National General Hospital, Indonesia
Introduction and importance: Rectovaginal fistula is a complication that may occur due to rectal injury during vaginal reconstructive surgery. To prevent these complications, the recognition of the injury is an important factor so that primary repair can be done. The primary repair can reduce the risk of complications such as fistula formation, and also reduce the physical and psychological impact on the patient. Case presentation: A 33-year-old woman, came with a chief complaint of fecal leakage from the vagina and abdominal pain three months before admission with a history of vaginal reconstructive surgery due to vaginal agenesis. Eleven years after the reconstruction, the patient was diagnosed with recurrent obstruction caused by vaginal synechia. During the surgery of synechia release, rectum injury occurred. Even though primary closure repair was done at that time, several months later there was a complication of rectovaginal fistule formation in the form of fecal leakage from the vagina. The corrective surgery is performed in collaboration with a surgical gastroenterologist. Clinical discussion: Iatrogenic rectal injury may occur during gynecological surgery. A fistula that occurs after the reconstruction of vaginal agenesis is a high-type rectovaginal fistula, making the repairs more complex. Collaboration surgery between surgical gastroenterologist and gynecologist may be an option in such cases. Conclusion: Rectovaginal fistula is a rare but serious complication of vaginal reconstructive surgery. Early recognition, immediate management, and postoperative follow-up are essential in cases of rectal injury during vaginal reconstructive surgery. © 2024
Rectovaginal fistula; Vaginal agenesis; Vaginal reconstructive surgery
abdominal hysterectomy; abdominal pain; adhesiolysis; adult; amnion; Article; case report; cervicovaginal synechia; clinical article; clinical outcome; echography; feces incontinence; female; gastroenterologist; hematometra; hematosalpinx; hospital admission; human; iatrogenic disease; implantation; laparotomy; menstruation disorder; middle aged; ovarian cystectomy; rectovaginal fistula; rectum perforation; recurrent disease; salpingectomy; surgical approach; surgical injury; tissue adhesion; urogynecologist; uterine tube disease; vagina aplasia; vagina reconstruction; Wexner score
Elsevier Ltd
22102612
Article
Q3
193
19555