Complications of Rectovaginal Fistula Repair

Marecik, Sławomir; Abcarian, Ariane M.; Prasad, Leela M.

doi:10.1007/978-3-319-48406-8_10

Cited by 1 publication

(1 citation statement)

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“…There are various operative procedures, such as the advancement flap, sphincteroplasty and fistulectomy, coloanal anastomosis, and gracilis muscle repair to manage rectovaginal fistulas [ 11 , 12 ]. The choice of the operative technique greatly depends on the status of the fistula and the etiological rationale behind this medical complication [ 1 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy

Beksaç

Özgül

Beksaç

2018

Obstetrics and Gynecology International

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Aim To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. Materials and Methods This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. Results All of the simple rectovaginal fistula cases healed after the operation. Five of the group 2 patients healed after the operation. However, 1 patient with Crohn's disease needed to undergo reoperation, but successfully healed after 6 months. On the contrary, 3 patients in group 3 healed (60%) whereas 2 of them failed to heal. Clinical characteristics of the patients were different between the groups (before and after the year 2000). Conclusion The choice of operation must be done according to the patient's underlying pathology. Proper management of associated inflammatory diseases and systemic disorders is recommended for necessary complex cases.

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