Soave's procedure: the final sphincter-saving solution for iatrogenic rectal lesions

Faucheron, Jean‐Luc; Rosso, Rodolfo; Tiret, Emmanuel; Keli, E; Nugent, Karen; Frileux, P; Parc, R

doi:10.1046/j.1365-2168.1998.00725.x

Cited by 28 publications

(8 citation statements)

References 15 publications

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“…It was first described by Soave [1] in 1964 to treat Hirschsprung's disease and then in 1972 Parks [2] described a similar operation to treat benign rectal cases in adults. Following radiotherapy [3][4][5], disrupted low colorectal anastomosis [6][7][8], a very low Hartmann's procedure [9] and extra-sphincteric fistula with marked local sepsis [10], there will be an 'unfriendly' pelvis. Embarking on rectal dissection in these conditions is challenging.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of colo‐anal pull‐through procedure for complex rectal conditions

2014

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Section: Introductionmentioning

confidence: 99%

Clinical outcomes of colo‐anal pull‐through procedure for complex rectal conditions

2014

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“…technique). 4,24,25 However, the excision of the stenosis and the construction of a new anastomosis is a major challenge for the surgeon, and it is associated with an increased morbidity and risk for colostomy.…”

Section: Discussionmentioning

confidence: 99%

Transanal Circular Stapler Technique

Nissotakis

Sakorafas

Vugiouklakis

et al. 2008

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Anastomotic stricture is a severe complication of colorectal anastomoses. Although dilatation is the treatment of choice for low-grade stenoses, surgery may be required for patients with high-grade stenoses or when dilatations fail. Surgical repair of colorectal anastomoses is a challenge for the surgeon. The transanal circular stapler technique is a simple and effective method for the repair of stenoses of low colorectal anastomoses, which avoids extensive tissue dissection and achieves excellent long-term results. We present 2 patients successfully treated by this technique [in one, the combined (transanal plus transabdominal) approach was used] and the relevant literature is briefly reviewed.

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“…For the treatment of RUF, however, colostomy seems to be preferred, since it is still a challenging procedure. Thus there has been only one report [32] in which ileostomy was performed with Soave's procedure.…”

Section: Conservative Approachmentioning

confidence: 99%

Rectourinary Fistula after Radical Prostatectomy: Review of the Literature for Incidence, Etiology, and Management

Kitamura

Tsukamoto

2011

Prostate Cancer

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Although rectourinary fistula (RUF) after radical prostatectomy (RP) is rare, it is an important issue impairing the quality of life of patients. If the RUF does not spontaneously close after colostomy, surgical closure should be considered. However, there is no standard approach and no consensus in the literature. A National Center for Biotechnology Information (NVBI) PubMed search for relevant articles published between 1995 and December 2010 was performed using the medical subject headings “radical prostatectomy” and “fistula.” Articles relevant to the treatment of RUF were retained. RUF developed in 0.6% to 9% of patients after RP. Most cases required colostomy, but more than 50% of them needed surgical fistula closure thereafter. The York-Mason technique is the most common approach, and closure using a broad-based flap of rectal mucosa is recommended after excision of the RUF. New techniques using a sealant or glue are developing, but further successful reports are needed.

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Soave's procedure: the final sphincter-saving solution for iatrogenic rectal lesions

Abstract: Soave's procedure obviates the need for extensive pelvic dissection, providing good technical and functional results in both the long and short term.

Cited by 28 publications

References 15 publications

Clinical outcomes of colo‐anal pull‐through procedure for complex rectal conditions

Clinical outcomes of colo‐anal pull‐through procedure for complex rectal conditions

Transanal Circular Stapler Technique

Rectourinary Fistula after Radical Prostatectomy: Review of the Literature for Incidence, Etiology, and Management

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