Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula

Rectovaginal fistula, which can arise after an injury to the vaginal canal or rectum, is a troublesome obstacle for patients’ everyday life. In most cases, it can be covered with a local flap, but previous radiation therapy increases the recurrence rate, making it especially difficult to cure. As th...

Full description

Bibliographic Details
Main Authors: Mijung Kim, Dae Hyun Lew, Tai Suk Roh, Seung Yong Song
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2021-01-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01718
_version_ 1811305517877821440
author Mijung Kim
Dae Hyun Lew
Tai Suk Roh
Seung Yong Song
author_facet Mijung Kim
Dae Hyun Lew
Tai Suk Roh
Seung Yong Song
author_sort Mijung Kim
collection DOAJ
description Rectovaginal fistula, which can arise after an injury to the vaginal canal or rectum, is a troublesome obstacle for patients’ everyday life. In most cases, it can be covered with a local flap, but previous radiation therapy increases the recurrence rate, making it especially difficult to cure. As the application of stromal vascular fraction (SVF) obtained from enzymatically digested autologous adipose tissue has become increasingly common, several reports have advocated its effectiveness for the treatment of refractory wounds. In light of the angiogenic, regenerative characteristics of SVF, it was incorporated as a treatment option in two cases of rectovaginal fistula discussed here. As described in this report, irradiated rectovaginal fistulas in rectal cancer patients were successfully treated with SVF injection, and we suggest SVF as a feasible treatment option for cases of rectovaginal fistula that would otherwise be very difficult to cure.
first_indexed 2024-04-13T08:27:50Z
format Article
id doaj.art-4e33bf06ff554eea9d8bf641d744d2fe
institution Directory Open Access Journal
issn 2234-6163
2234-6171
language English
last_indexed 2024-04-13T08:27:50Z
publishDate 2021-01-01
publisher Thieme Medical Publishers, Inc.
record_format Article
series Archives of Plastic Surgery
spelling doaj.art-4e33bf06ff554eea9d8bf641d744d2fe2022-12-22T02:54:22ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-01-01480112713010.5999/aps.2020.017183823Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistulaMijung Kim0Dae Hyun Lew1Tai Suk Roh2Seung Yong Song3Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaRectovaginal fistula, which can arise after an injury to the vaginal canal or rectum, is a troublesome obstacle for patients’ everyday life. In most cases, it can be covered with a local flap, but previous radiation therapy increases the recurrence rate, making it especially difficult to cure. As the application of stromal vascular fraction (SVF) obtained from enzymatically digested autologous adipose tissue has become increasingly common, several reports have advocated its effectiveness for the treatment of refractory wounds. In light of the angiogenic, regenerative characteristics of SVF, it was incorporated as a treatment option in two cases of rectovaginal fistula discussed here. As described in this report, irradiated rectovaginal fistulas in rectal cancer patients were successfully treated with SVF injection, and we suggest SVF as a feasible treatment option for cases of rectovaginal fistula that would otherwise be very difficult to cure.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01718rectovaginal fistulafat graftmesenchymal stem cellradiation effect
spellingShingle Mijung Kim
Dae Hyun Lew
Tai Suk Roh
Seung Yong Song
Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
Archives of Plastic Surgery
rectovaginal fistula
fat graft
mesenchymal stem cell
radiation effect
title Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
title_full Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
title_fullStr Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
title_full_unstemmed Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
title_short Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
title_sort stromal vascular fraction injection to treat intractable radiation induced rectovaginal fistula
topic rectovaginal fistula
fat graft
mesenchymal stem cell
radiation effect
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01718
work_keys_str_mv AT mijungkim stromalvascularfractioninjectiontotreatintractableradiationinducedrectovaginalfistula
AT daehyunlew stromalvascularfractioninjectiontotreatintractableradiationinducedrectovaginalfistula
AT taisukroh stromalvascularfractioninjectiontotreatintractableradiationinducedrectovaginalfistula
AT seungyongsong stromalvascularfractioninjectiontotreatintractableradiationinducedrectovaginalfistula