Rectal sleeve advancement: repair of rectovaginal fistula associated with anorectal stricture in Crohn's disease.
Successful repair of rectovaginal fistula in patients with Crohn's disease has been reported when these patients have a normal appearing rectum. We report the performance of stricturectomy in conjunction with circumferential rectal sleeve advancement for patients who have a rectovaginal fistula arising from an anorectal stricture secondary to Crohn's disease. This technique provides for repair of rectovaginal fistula and correction of the anal stricture and maintains continence.
Simmang
C L
CL
Department of Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9156, USA.
Lacey
S W
SW
Huber
P J
PJ
D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000150:complications / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D012002:Rectal Diseases / Q000150:complications / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000150:complications / Q000601:surgery*; D012007:Rectum / Q000601:surgery*