Laser Bowel Perforation
A 31-year-old female patient who had undergone three operations for a periodontal abscess and fistula of which the 1st Was a simple opening of the abscess, the 2nd Was a seton placement in the fistula and the 3rd Was laser by a general surgeon.
After the third surgery, the patient experienced pain and inflammation in the genitals and mainly in the area of the left lip of the vulva with great swelling and expulsion of fecal contents. During the examination, a large hole (perforation) was found in the rectum with a diameter of approximately 3 cm.
Both the general surgeon and other rectal surgeons she visited suggested surgery with a temporary colostomy (colostomy) until the laser perforation healed.
Treatment of perforation without paraphyseal seat
The patient turned to our clinic where we proposed the solution of a combined operation with the placement of a seton and a graft to cover the perforation.
After the operation, which lasted about 2 hours, he was hospitalized for 24 hours and was discharged the next day. The patient was followed up once a week for one month and then monthly for three months.
During this time, the setons were removed and the perforation healed, thus avoiding the very natural seat as well as the discomfort and the cost of two major operations that this entailed.
Laser intervention for intervertebral fistulas is the most modern and safe method when performed by experienced and specialized surgeons. Otherwise, they can lead to serious complications that cannot be treated easily and require very specialized surgical techniques.
Dealing with the complications of these operations is often beyond the expertise of rectal surgeons and requires more experienced bowel and rectal surgeons.
Read more about the fistulas.
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