保存的治療にて治癒せしめた低位前方切除術後直腸腟瘻の1例

概要

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Recently, low anterior resection of rectal cancer by the use of double stapling technique which preserves the anus, taking into consideration of safety in autosuture technique and quality of life, has been propagated with rapidly.<BR>On the other hand, it has been repored that there are some occasions under these opera-tions in which the physicians are troubled with hemorrhage, infections, anastomotic leakage, stricture, fistulization, dysfunction of defecation and disorder of of sexual dysfunction as the postoperative complications. Generally, the closure of rectovaginal fistula is so poorly curable by any palliative method that the physicians are obliged to repeat operation.<BR>This report is made with some bibliographical considecation on 1 case of rectal cancer in whom rectovaginal fistula occured in 46 days after low anterior resection with the use of a double stapling technique, and showed that administration of a blood coagulation factor XIII preparation to the patient with rectovaginal fistula is one of the successful methods for its closure.
日本大腸肛門病学会の論文