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Complicated sigmoiditis with sigmoido-vaginal fistula: laparoscopic management with Natural Orifice Specimen Extraction (NOSE)

J Leroy, MD, FRCS L Marx, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2013;13(03). URL: http://websurg.com/doi/vd01en3898

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  • 2013-03-11
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Sigmoiditis complicated by the presence of chronic sigmoido-vaginal fistula has become increasingly rare. Its laparoscopic management has long been considered to be a contraindication. This film demonstrates that surgery is feasible and a laparotomy can be avoided as the extraction of the sigmoid colon and the anastomosis are performed transvaginally. The outstanding quality of HD images enhances the visualization of all anatomical structures.