TY - JOUR T1 - Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease. AU - Banky,Balazs, AU - Marlborough,Fergal, AU - MacLeod,Iona, AU - Gill,Talvinder S, Y1 - 2016/05/13/ PY - 2016/5/15/entrez PY - 2016/5/15/pubmed PY - 2017/2/2/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2016 N2 - Colouterine fistula as a potential complication of chronic diverticulitis is a rare entity with less than 30 cases reported worldwide. Generally, patients require a multidisciplinary approach including a major laparotomy with hysterectomy and sigmoid colectomy, and, occasionally, temporary colostomy. We report the first attempt of a novel, minimally invasive technique for managing a case of benign colouterine fistula with single-incision laparoscopic (SIL) sigmoid colectomy and uterus preservation. A small, 3 cm incision site provided access for the whole operation, as well as played a role as the specimen extraction site. Malignant fistulas and large uterine defects may require hysterectomy, however, laparoscopic closure of uterine wall defects can be considered as a reasonable alternative in selected patients, avoiding the higher risks associated with hysterectomy and keeping fertility at younger ages. Single incision laparoscopy in complicated diverticular disease and fistula formation cases is a challenging but technically feasible option, in experienced hands. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/27177935/Single_incision_laparoscopic__SIL__sigmoid_colectomy_and_uterus_preserving_repair_for_colo_uterine_fistula_secondary_to_severe_diverticular_disease:_an_unusual_technical_solution_for_an_unusual_presentation_of_a_common_disease_ DB - PRIME DP - Unbound Medicine ER -