[Surgical treatment of rectal-vaginal fistulas].
An analysis of results of surgical treatment of rectal-vaginal fistulas (RVF) in 54 patients aged from 20 to 56 has revealed that 22 patients (40.8%) had I degree RVF, 32 (59.2%) had II degree RVF. In 24 patients (44.4%) RVF were complicated by anal incontinence. A transsphincter fistula was found in 35 (64.8%) patients, extra-sphincter one in 2 (3.7%), and intrasphincter--in 17 (31.5%) patients. The operation of choice was dissection of the sphincter passage with the descending of rectum mucosa which was supplemented with anterior sphincterolevator plasty in 32 (59.2%) of 54 patients. Recurrent fistulas were found in 2 (3.7%) patients.
Sultanov
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D000328:Adult; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000175:diagnosis / Q000601:surgery*; D012720:Severity of Illness Index; D013514:Surgical Procedures, Operative / Q000379:methods*