id:"swepub:oai:DiVA.org:liu-54615"
Search: id:"swepub:oai:DiVA.org:liu-54615" > Anastomotic-vaginal...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Matthiessen, PDepartment of Surgery, Örebro University Hospital, Örebro, Sweden (author)
Anastomotic-vaginal fistula (AVF) after anterior resection of the rectum for cancer - occurrence and risk factors
- Article/chapterEnglish2010
Publisher, publication year, extent ...
- Wiley,2010
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:liu-54615
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-54615URI
- https://doi.org/10.1111/j.1463-1318.2009.01798.xDOI
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-22346URI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- Objective The aim of the study was to assess recto-vaginal fistula (RVF) after anterior resection of the rectum for cancer with regard to occurrence and risk factors. Method All female patients [median age 69.5 years, Union Internationale centre le Cancer (UICC) cancer stage IV in 10%] who developed a symptomatic RVF (n = 20) after anterior resection of the rectum for cancer from three separate cohorts of patients were identified and compared with those who developed conventional symptomatic leakage (n = 32), and those who did not leak (n = 338). Patient demography and perioperative data were compared between these three groups. Fourteen patient-related and surgery-related variables thought to be possible risk factors for RVF (anastomotic-vaginal fistula) were analysed. Results Symptomatic anastomotic leakage occurred in 52 (13.3%) of 390 patients. Twenty (5.1%) had an anastomotic-vaginal fistula (AVF) and 32 (8.2%) conventional leakage (CL). Patients with AVF required unscheduled re-operation and defunctioning stoma as often as those with CL. AVF was diagnosed later and more often after discharge from hospital compared with CL. Patients with AVF had lower anastomoses and decreased BMI compared with those with CL. Risk factors for AVF in multivariate analysis were anastomosis andlt; 5 cm above the anal verge (P = 0.001), preoperative radiotherapy (P = 0.004), and UICC cancer stage IV (P = 0.005). Previous hysterectomy was a risk factor neither for AVF nor for CL. Conclusion Anastomotic-vaginal fistula forms a significant part of all symptomatic leakages after low anterior resection for cancer in women. Although diagnosed later, the need for abdominal re-operation and defunctioning stoma was not different from patients with CL. Risk factors for AVF included low anastomosis, preoperative radiotherapy and UICC cancer stage IV.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
- Anastomotic-vaginal fistula
- recto-vaginal fistula
- anastomotic leakage
- anterior resection of the rectum
- rectal cancer
- risk factors
- MEDICINE
- MEDICIN
- kirurgi
Added entries (persons, corporate bodies, meetings, titles ...)
- Hansson, LDepartment of Surgery, Örebro University Hospital, Örebro, Sweden (author)
- Sjödahl, RuneÖstergötlands Läns Landsting,Linköpings universitet,Kirurgi,Hälsouniversitetet,Kirurgiska kliniken i Östergötland med verksamhet i Linköping, Norrköping och Motala,Department of Surgery, Linköping University Hospital, Linköping, Sweden(Swepub:liu)runsj89 (author)
- Rutegård, Jörgen,1948-Umeå universitet,Kirurgi,Umeå University Hospital(Swepub:umu)jaru0001 (author)
- Department of Surgery, Örebro University Hospital, Örebro, SwedenKirurgi (creator_code:org_t)
Related titles
- In:COLORECTAL DISEASE: Wiley12:4, s. 351-3571462-89101463-1318
Internet link
Find in a library
- COLORECTAL DISEASE (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Matthiessen, P
- Hansson, L
- Sjödahl, Rune
- Rutegård, Jörgen ...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Surgery
- Articles in the publication
- COLORECTAL DISEA ...
- By the university
- Linköping University
- Umeå University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
