XXXX : A totally unacceptable surgical error.

@entity1 @entity254 @entity189 @entity260 @entity1939
INTRODUCTION: The low anterior rectal resection and double stapling technique are well-established surgical procedures with well-known pitfalls, potential complications, and preventive measures. @entity254 is a surgical error which should not occur. PRESENTATION OF CASE: A 39-year old @entity1 underwent low anterior resection with double stapling technique, for @entity189 in the City Hospital. On the fifth postoperative day she noticed passage of gas and two days later passage of feces from vagina. The surgeons who performed the operation explained to her that it is a normal condition for such modern procedure that is supervised by international educator engaged by the Government. The @entity1 lived with this condition, passage of gas and feces from the vagina and nothing from anus for three months when her oncologist referred her for a second opinion at the University Clinic for Digestive Surgery. The digital examinations revealed @entity1939 , and feces in vagina; thus having the @entity1 's history in mind, we assumed that the @entity1 had a colovaginal @entity254 . Our assumption was confirmed by two succeeding radiological examinations. Initially, water soluble contrast enema was performed to assess the colon, when a clear-cut blind rectal stump was detected. Afterwards, the vaginography revealed a copious flow of contrast material from the vagina toward the sigmoid colon. After a few days, a restorative surgery was done. DISCUSSION: Most of the early @entity260 are a result of surgical errors. CONCLUSION: We believe that there is no excuse for such a surgical error and postoperative follow-up.
