A fully transanal endoscopic approach for large post‐anastomotic high rectovaginal fistulas: An <scp>IDEAL</scp> stage 1 technical note

This technical note demonstrates the feasibility of a fully transanal endoscopic approach for selected large and high rectovaginal fistulas. By avoiding transabdominal access, this organ-preserving technique may represent a valuable option in experienced centres for patients in whom conventional approaches are associated with high morbidity. Further evaluation in larger series is warranted.

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Publication Details

Journal
Colorectal Disease
Published
2026-02-26
DOI
https://doi.org/10.1111/codi.70419
Primary Topic
Anorectal Disease Treatments and Outcomes
Type
article
Field-Weighted Citation Impact
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article

A fully transanal endoscopic approach for large post‐anastomotic high rectovaginal fistulas: An IDEAL stage 1 technical note

D. Mutter, Alfonso Lapergola, Antonio D'Urso, Fatema Alhammadi et al.
Colorectal Disease
Anorectal Disease Treatments and Outcomes
article

A fully transanal endoscopic approach for large post‐anastomotic high rectovaginal fistulas: An IDEAL stage 1 technical note

D. Mutter, Alfonso Lapergola, Antonio D'Urso, Fatema Alhammadi, Elisa Reitano, Paul Hag, Pietro Riva, Federica Alicata
article en

Abstract

This technical note demonstrates the feasibility of a fully transanal endoscopic approach for selected large and high rectovaginal fistulas. By avoiding transabdominal access, this organ-preserving technique may represent a valuable option in experienced centres for patients in whom conventional approaches are associated with high morbidity. Further evaluation in larger series is warranted.

Colorectal DiseaseVol. 28(3)
University of Rome Tor Vergata (IT), Institut Universitaire de France (FR), Institut de Recherche contre les Cancers de l’Appareil Digestif (FR), Institut de Chirurgie Guidée par l'Image (FR), Hôpital Civil, Strasbourg (FR), Sapienza University of Rome (IT)
Openalex Percentile: Top 40%
Anorectal Disease Treatments and Outcomes
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