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...

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Published inArchives of plastic surgery Vol. 48; no. 1; pp. 127 - 130
Main Authors Kim, Mijung, Lew, Dae Hyun, Roh, Tai Suk, Song, Seung Yong
Format Journal Article
LanguageEnglish
Published 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA Thieme Medical Publishers, Inc 01.01.2021
Korean Society of Plastic and Reconstructive Surgeons
대한성형외과학회
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ISSN2234-6163
2234-6171
2234-6171
DOI10.5999/aps.2020.01718

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Abstract 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.
AbstractList 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.
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. KCI Citation Count: 0
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.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.
Author Song, Seung Yong
Roh, Tai Suk
Lew, Dae Hyun
Kim, Mijung
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10.1097/SCS.0000000000001852
10.1016/j.suc.2009.09.003
10.1007/s00384-008-0559-0
10.1186/s13287-017-0598-y
10.4174/astr.2019.97.3.149
10.1007/s10151-017-1739-0
10.1136/bcr-2012-006988
10.1097/01.prs.0000256047.47909.71
10.1093/ibd/izz051
10.1053/j.gastro.2019.01.032
10.1016/j.bjps.2015.10.015
10.1038/cddis.2015.189
10.1097/SLA.0000000000001461
10.1016/j.bjps.2015.10.014
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Keywords Mesenchymal stem cell
Radiation effect
Fat graft
Rectovaginal fistula
Language English
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References M Serrero (ref14) 2019; 156
S Laureti (ref6) 2020; 26
BJ Champagne (ref1) 2010; 90
H Corte (ref2) 2015; 262
DW Borowski (ref7) 2012; 2012
P Bora (ref13) 2017; 8
M Hasdemir (ref11) 2015; 26
S Norderval (ref4) 2018; 22
I Andia (ref8) 2019; 19
A Nguyen (ref9) 2016; 69
SB Ryoo (ref3) 2019; 97
D Garcia-Olmo (ref5) 2009; 24
PY Chang (ref12) 2015; 6
J Guo (ref15) 2016; 69
G Rigotti (ref10) 2007; 119
References_xml – volume: 19
  start-page: 1289
  year: 2019
  ident: ref8
  article-title: Stromal vascular fraction technologies and clinical applications
  publication-title: Expert Opin Biol Ther
  doi: 10.1080/14712598.2019.1671970
– volume: 26
  start-page: 1450
  year: 2015
  ident: ref11
  article-title: Adipose-derived stem cells improve survival of random pattern cutaneous flaps in radiation damaged skin
  publication-title: J Craniofac Surg
  doi: 10.1097/SCS.0000000000001852
– volume: 90
  start-page: 69
  year: 2010
  ident: ref1
  article-title: Rectovaginal fistula
  publication-title: Surg Clin North Am
  doi: 10.1016/j.suc.2009.09.003
– volume: 24
  start-page: 27
  year: 2009
  ident: ref5
  article-title: Treatment of enterocutaneous fistula in Crohn’s disease with adipose-derived stem cells: a comparison of protocols with and without cell expansion
  publication-title: Int J Colorectal Dis
  doi: 10.1007/s00384-008-0559-0
– volume: 8
  start-page: 145
  year: 2017
  ident: ref13
  article-title: Adipose tissue-derived stromal vascular fraction in regenerative medicine: a brief review on biology and translation
  publication-title: Stem Cell Res Ther
  doi: 10.1186/s13287-017-0598-y
– volume: 97
  start-page: 149
  year: 2019
  ident: ref3
  article-title: Outcomes of surgical treatments for rectovaginal fistula and prognostic factors for successful closure: a single-center tertiary hospital experiences
  publication-title: Ann Surg Treat Res
  doi: 10.4174/astr.2019.97.3.149
– volume: 22
  start-page: 45
  year: 2018
  ident: ref4
  article-title: Efficacy of autologous fat graft injection in the treatment of anovaginal fistulas
  publication-title: Tech Coloproctol
  doi: 10.1007/s10151-017-1739-0
– volume: 2012
  start-page: bcr2012006988
  year: 2012
  ident: ref7
  article-title: Autologous adipose-tissue derived regenerative cells for the treatment of complex cryptoglandular fistula-in-ano: a report of three cases
  publication-title: BMJ Case Rep
  doi: 10.1136/bcr-2012-006988
– volume: 119
  start-page: 1409
  year: 2007
  ident: ref10
  article-title: Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells
  publication-title: Plast Reconstr Surg
  doi: 10.1097/01.prs.0000256047.47909.71
– volume: 26
  start-page: 321
  year: 2020
  ident: ref6
  article-title: Refractory complex Crohn’s perianal fistulas: a role for autologous microfragmented adipose tissue injection
  publication-title: Inflamm Bowel Dis
  doi: 10.1093/ibd/izz051
– volume: 156
  start-page: 2335
  year: 2019
  ident: ref14
  article-title: Long-term safety and efficacy of local microinjection combining autologous microfat and adipose-derived stromal vascular fraction for the treatment of refractory perianal fistula in Crohn’s disease
  publication-title: Gastroenterology
  doi: 10.1053/j.gastro.2019.01.032
– volume: 69
  start-page: 170
  year: 2016
  ident: ref9
  article-title: Stromal vascular fraction: a regenerative reality? Part 1: current concepts and review of the literature
  publication-title: J Plast Reconstr Aesthet Surg
  doi: 10.1016/j.bjps.2015.10.015
– volume: 6
  start-page: e1840
  year: 2015
  ident: ref12
  article-title: The potential of mesenchymal stem cells in the management of radiation enteropathy
  publication-title: Cell Death Dis
  doi: 10.1038/cddis.2015.189
– volume: 262
  start-page: 855
  year: 2015
  ident: ref2
  article-title: Rectovaginal fistula: what is the optimal strategy? An analysis of 79 patients undergoing 286 procedures
  publication-title: Ann Surg
  doi: 10.1097/SLA.0000000000001461
– volume: 69
  start-page: 180
  year: 2016
  ident: ref15
  article-title: Stromal vascular fraction: a regenerative reality? Part 2: mechanisms of regenerative action
  publication-title: J Plast Reconstr Aesthet Surg
  doi: 10.1016/j.bjps.2015.10.014
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Snippet 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...
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...
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SubjectTerms Extremity/Lymphedema
fat graft
mesenchymal stem cell
radiation effect
rectovaginal fistula
성형외과학
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Title Stromal vascular fraction injection to treat intractable radiation-induced rectovaginal fistula
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