Post-Surgery Complications: Fecal Leakage from Vagina After Rectal Surgery

Fecal matter exiting from the vagina after rectal surgery?

Hello, I would like to ask about my mother who was diagnosed with rectal cancer and underwent laparoscopic surgery.
However, after returning home to rest for a week, she developed a persistent high fever.
Later, it was discovered that feces were coming from her vagina, and she was taken to the emergency room.
The doctors determined that there was a perforation in the colon, possibly caused by the surgical instruments, and she underwent an emergency second surgery to create a colostomy, allowing her intestines to rest for three months.
After that, a third surgery will be required.
This has caused my mother significant suffering.
I would like to know if all these expenses must be borne by the patient, and whether the hospital and doctors have any responsibility in this matter?

Ms. Hsieh, 30~39 year old female. Ask Date: 2013/09/15

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Dear Ms.
Hsieh,
The condition of the surgery often varies depending on the individual case.
The most ideal management should be determined based on the specific situation.
If you have any questions, you should consult your attending physician or raise your concerns with the hospital, or file a complaint with the relevant authorities.
Wishing you good health,
Dr.
Chen Chih-Feng
Taoyuan Hospital

Reply Date: 2013/09/15

More Info

I'm sorry to hear about your mother's situation; it sounds incredibly challenging for both her and your family. Post-surgery complications, especially after significant procedures like laparoscopic surgery for rectal cancer, can be distressing and complex.
Fecal leakage from the vagina, known as a rectovaginal fistula, is a serious complication that can occur after rectal surgery. This condition arises when there is an abnormal connection between the rectum and the vagina, often due to surgical trauma, infection, or inadequate healing. The presence of fecal matter in the vaginal canal can lead to severe infections and significant discomfort, necessitating further surgical intervention, as you've described.

Regarding the financial aspect of your mother's treatment, the responsibility for medical expenses can vary based on several factors, including the healthcare system in your area, the type of insurance coverage your mother has, and the policies of the hospital and medical professionals involved. In many cases, patients are responsible for their medical bills, but there may be avenues for financial assistance or support, especially if the complications arose due to negligence or error during the initial surgery.

If the complications were indeed caused by a mistake during the surgery, it may be worth discussing the situation with a legal professional who specializes in medical malpractice. They can provide guidance on whether there is a case for pursuing compensation for the additional surgeries and complications your mother has faced. Additionally, hospitals often have patient advocates or ombudsmen who can assist families in navigating these issues, including understanding billing practices and seeking financial aid.

It's also essential to communicate openly with your mother's healthcare team about her condition and any concerns you have regarding her treatment and recovery. They can provide insights into her prognosis, the necessity of further surgeries, and what to expect moving forward.
In summary, while the emotional and physical toll of such complications is significant, understanding the financial implications and seeking appropriate support can help alleviate some of the burdens. Your mother's health and recovery should remain the primary focus, and ensuring she receives the best possible care is paramount.

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