Treatment of rectovaginal fistula: a 5-year review.
This paper presents a chart review of 17 patients who had been treated for rectovaginal fistula (RVF) from 1996 to 2000. In most cases (13; 76.5%), the fistula was the result of post-surgical complications. Following vaginal mucosa advancement flap repair or repair after conversion to a fourth-degree perineal laceration, 16 (94%) of the rectovaginal fistulae (during the first attempted repair or after failed treatment) were successfully treated. In all patients but one, faecal diversion was avoided. In two patients, fistulography was both a diagnostic procedure and the method of treatment.
Casadesus
Damian
D
Coloproctology Department, Calixto Garcia University Hospital, J y Universidad, Vedado, Havana, Cuba. dcasadesus@hotmail.com
Villasana
Luis
L
Sanchez
Ines M
IM
Diaz
Hector
H
Chavez
Mariano
M
Diaz
Angelina
A
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications; D012006:Rectovaginal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing