Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula
(1) Background: High-grade cervical dysplasia is primarily caused by human papillomavirus (HPV) infection. Conservative surgery is the preferred treatment approach for this condition. The most commonly employed technique is the loop electrosurgical excision procedure (LEEP), which involves removing...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2039-7283/13/5/91 |
| _version_ | 1827721296923852800 |
|---|---|
| author | Paolo Meloni Sara Izzo Claudia De Intinis Terenzia Simari Mariangela Motzo Riccardo Picazzo Rodolfo Brizio Cristina Vignale Marcello Molle Luciano Izzo Paolo Izzo |
| author_facet | Paolo Meloni Sara Izzo Claudia De Intinis Terenzia Simari Mariangela Motzo Riccardo Picazzo Rodolfo Brizio Cristina Vignale Marcello Molle Luciano Izzo Paolo Izzo |
| author_sort | Paolo Meloni |
| collection | DOAJ |
| description | (1) Background: High-grade cervical dysplasia is primarily caused by human papillomavirus (HPV) infection. Conservative surgery is the preferred treatment approach for this condition. The most commonly employed technique is the loop electrosurgical excision procedure (LEEP), which involves removing the affected portion of the cervix. Excisional treatments are often curative, and complications are typically rare and minor. (2) Methods: The loop electrosurgical excision procedure (LEEP) is the standard method used for conservative surgery in high-grade cervical dysplasia. It entails the excision of the specific area of the cervix where the abnormal cells are present. The procedure employs a wire loop carrying an electrical current to remove the affected tissue. (3) Results: Excisional treatments, such as LEEP, have shown to be effective in treating high-grade cervical dysplasia. They have a high success rate in eliminating abnormal cells and reducing the risk of cervical cancer. Complications associated with LEEP are infrequent and usually minor. Short-term complications may include bleeding, which can be managed easily. Long-term complications may involve cervical canal stenosis, which can impact fertility. (4) Conclusions: Conservative surgery, particularly the loop electrosurgical excision procedure (LEEP), is the preferred and effective treatment for high-grade cervical dysplasia caused by HPV infection. It offers a high cure rate with rare and minor complications. While short-term bleeding is a common occurrence, it is manageable. Long-term complications such as cervical canal stenosis may impact fertility. However, an extremely rare and possibly unique complication described in this case is the development of a vaginorectal fistula. This complication is likely due to indirect thermal injury resulting from compromised tissue. Further research is needed to better understand and prevent such complications. |
| first_indexed | 2024-03-10T21:20:33Z |
| format | Article |
| id | doaj.art-51caf549acf94d78818215055e568cda |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-10T21:20:33Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-51caf549acf94d78818215055e568cda2023-11-19T16:07:12ZengMDPI AGClinics and Practice2039-72832023-08-011351025103410.3390/clinpract13050091Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal FistulaPaolo Meloni0Sara Izzo1Claudia De Intinis2Terenzia Simari3Mariangela Motzo4Riccardo Picazzo5Rodolfo Brizio6Cristina Vignale7Marcello Molle8Luciano Izzo9Paolo Izzo10SC Ostetricia Ginecologia, Ospedale Imperia, ASL1 Imperiese, 18038 Sanremo, ItalyPlastic Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia, 80138 Naples, Italy“Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, viale del Policlinico 155, 00161 Rome, ItalyAmbulatorio Specialistico Ginecologia Ostetricia, ASL1 Imperiese, 18038 Sanremo, ItalySC Ostetricia Ginecologia, Ospedale Imperia, ASL1 Imperiese, 18038 Sanremo, ItalySC Radiologia, ASL1 Imperiese, 18038 Sanremo, ItalySC Anatomia Patologica, ASL1 Imperiese, 18038 Sanremo, ItalySC Anatomia Patologica, ASL1 Imperiese, 18038 Sanremo, ItalyPlastic Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia, 80138 Naples, Italy“Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, viale del Policlinico 155, 00161 Rome, Italy“Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, viale del Policlinico 155, 00161 Rome, Italy(1) Background: High-grade cervical dysplasia is primarily caused by human papillomavirus (HPV) infection. Conservative surgery is the preferred treatment approach for this condition. The most commonly employed technique is the loop electrosurgical excision procedure (LEEP), which involves removing the affected portion of the cervix. Excisional treatments are often curative, and complications are typically rare and minor. (2) Methods: The loop electrosurgical excision procedure (LEEP) is the standard method used for conservative surgery in high-grade cervical dysplasia. It entails the excision of the specific area of the cervix where the abnormal cells are present. The procedure employs a wire loop carrying an electrical current to remove the affected tissue. (3) Results: Excisional treatments, such as LEEP, have shown to be effective in treating high-grade cervical dysplasia. They have a high success rate in eliminating abnormal cells and reducing the risk of cervical cancer. Complications associated with LEEP are infrequent and usually minor. Short-term complications may include bleeding, which can be managed easily. Long-term complications may involve cervical canal stenosis, which can impact fertility. (4) Conclusions: Conservative surgery, particularly the loop electrosurgical excision procedure (LEEP), is the preferred and effective treatment for high-grade cervical dysplasia caused by HPV infection. It offers a high cure rate with rare and minor complications. While short-term bleeding is a common occurrence, it is manageable. Long-term complications such as cervical canal stenosis may impact fertility. However, an extremely rare and possibly unique complication described in this case is the development of a vaginorectal fistula. This complication is likely due to indirect thermal injury resulting from compromised tissue. Further research is needed to better understand and prevent such complications.https://www.mdpi.com/2039-7283/13/5/91cervical dysplasiarectovaginal fistulaconizationcomplication post-conization |
| spellingShingle | Paolo Meloni Sara Izzo Claudia De Intinis Terenzia Simari Mariangela Motzo Riccardo Picazzo Rodolfo Brizio Cristina Vignale Marcello Molle Luciano Izzo Paolo Izzo Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula Clinics and Practice cervical dysplasia rectovaginal fistula conization complication post-conization |
| title | Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula |
| title_full | Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula |
| title_fullStr | Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula |
| title_full_unstemmed | Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula |
| title_short | Rare Complication Post-Conization for Cervical Dysplasia: Rectovaginal Fistula |
| title_sort | rare complication post conization for cervical dysplasia rectovaginal fistula |
| topic | cervical dysplasia rectovaginal fistula conization complication post-conization |
| url | https://www.mdpi.com/2039-7283/13/5/91 |
| work_keys_str_mv | AT paolomeloni rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT saraizzo rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT claudiadeintinis rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT terenziasimari rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT mariangelamotzo rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT riccardopicazzo rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT rodolfobrizio rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT cristinavignale rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT marcellomolle rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT lucianoizzo rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula AT paoloizzo rarecomplicationpostconizationforcervicaldysplasiarectovaginalfistula |