Management of congenital and aquired H-type anorectal fistulae in girls by anterior sagittal anorectovaginoplasty

Rectovestibular fistula with normal anus: a simple resection or an extensive perineal dissection?

“…Other investigators believe that it is an acquired condition [9][10][11][12]. Sun et al [13] compared the histologic findings in a group of 19 patients with fistula and a normal anus to another group of 10 having a fistula associated with imperforate anus and suggested that most RVFNA originated from a vulvar abscess.…”

The surgical management of H-type rectovestibular fistula: a case report and brief review of the literature

“…We believe that this extensive procedure is more complicated than the condition warrants, often necessitating a diverting colostomy, and also carries the risk of incontinence and sphincter dysfunction. An anterior sagittal anorectvaginoplasty (ASARVP) also has been described not only as an effective repair method with good exposure and direct visualization of the fistula anatomy, but also involves extensive dissection of the central structures and possible disruption of the sphincter function [6,10,11].…”

“…Although first described in 1960, there remains no consensus on the optimal management of this rare condition [4]. Surgical repairs described in the literature range from simple excision and closure of the fistula [3,5] to full anorectoplasty with division and repair of sphincters [2,6]. In this paper, we describe a simple approach to the definitive repair of this malformation which has minimal morbidity, and provide a brief review of the existing literature.…”

Anovestibular fistula with normal anus

“…The first report of a double termination of alimentary tract was in 1959 by Bryndorf and Madsen from Scandinavia [8]. Thereafter, many cases have been reported from Vietnam [9], Japan [3], China [7], Pakistan [10], Qatar [11], and Egypt [12]; but the larger series are mainly from India and Japan [2,3,13]. Series from the Western countries include patients mainly of Asian origin [14].…”