Publications by authors named "Luis Espino Urbina"
Background: Colovesical fistulas in two-thirds of the cases are due to diverticular disease. In recent years, a minimally invasive approach has shown advantages over the traditional open approach. The goal of this study was to evaluate the surgical results and safety of the laparoscopic procedure in patients with colovesical fistula.
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- A 34-year-old female patient experienced abdominal pain and elevated bilirubin levels, leading to an ERCP procedure that involved a successful sphincterotomy and resolution of choledocholithiasis.
- Following the procedure, she developed severe abdominal pain, hypovolemic shock, and peritoneal irritation, requiring emergency surgery that discovered a grade III liver laceration, which was addressed alongside a cholecystectomy.
- After a second surgery to control bleeding and treat a subsequent subdiaphragmatic abscess, the patient recovered well and was discharged.
Ligation of intersphincteric fistula tract: what is the evidence in a review?
World J Gastroenterol
October 2013
Broadly, complex fistulas are those that are not low transsphincteric or intersphincteric. The objectives of surgical management are to achieve fistula healing, prevent recurrences and maintain continence. The risk of incontinence associated with treatment ranges from 10% to 57%.
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