title: Transperineal repair of persistent rectovaginal fistulas using an acellular cadaveric dermal graft (AlloDerm).
abstract: A number of surgical techniques have been described to treat rectovaginal fistulas. Recurrent or persistent fistulas after previous repair can be particularly difficult to treat. We report a novel technique used to successfully repair rectovaginal fistulas after failed mucosal advancement flap procedures using a transperineal-layered closure with an interposed graft of acellular cadaveric dermis (Alloderm).
authors.affiliation: Section of Colon and Rectal Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive H3680, Stanford, CA 94305, USA. Shelton@stanford.edu
authors.forename: Andrew A
authors.initials: AA
authors.lastname: Shelton
authors.forename: Mark L
authors.initials: ML
authors.lastname: Welton
mesh_terms: D000328:Adult; D001672:Biocompatible Materials / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012006:Rectovaginal Fistula / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps
chemical_list: C440568:Alloderm; D001672:Biocompatible Materials; D003094:Collagen