VM66 - Closure of Recurrent Pouch-Vaginal Fistula

ONGOING VIDEOS

Location: San Diego Convention Center, ASCRS Connect Lounge, Hall B1/B2, Ground Level

Video Presentation(s)

Nicholas R. Peterson, MD

Colorectal Fellow
University of Miami
Miami, FL, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Author(s)

SD

Sara Danker, MD

Faculty
University of Miami
Miami, Florida, United States

Disclosure information not submitted.
BC

Brett M. Colbert, PhD

Medical Student
University of Miami
Miami, Florida, United States

Disclosure information not submitted.
ZW

Zoe Weiss, MD

Resident
University of Miami
Miami, Florida, United States

Disclosure information not submitted.

Senior Author(s)

LF

Luanne Force, MD

Faculty
University of Miami
Miami, Florida, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

All of the relevant financial relationships listed below have been mitigated.

Nicholas R. Peterson, MD: This individual has no financial relationships with ineligible companies.

Luanne Force, MD: This individual has no financial relationships with ineligible companies.

Image or Table (Do Not add text here):

Purpose/Background: Closure of a Recurrent Pouch-Vaginal Fistula demonstrates the technical aspects of closing a feared complication from IPAA. The patient is a 26 year old female with UC who underwent a two stage IPAA after an emergent subtotal colectomy and developed a pouch-vaginal fistula. She had previously undergone attempted closure with a left gracilus muscle flap via perineal approach which ultimately failed. This video demonstrates a second attempt of closure using a right sided gracilus muscle flap using a perineal approach.

Methods/Interventions: An iPhone was used to record the surgical technique and shortened to highlight the important steps.

Results/Outcomes: Video review highlighting the surgical technique of a perineal closure of a recurrent pouch-vaginal fistula.

Conclusion/Discussion: A pouch-vaginal fistula after IPAA is a feared complication and presents a challenging problem. Here the technical highlights of a repeat perineal closure using a gracilus flap are shown.