title: Surgical mistake causing an high recto-vaginal fistula. A case report with combined surgical and endoscopic approach: therapeutic considerations.
abstract: BACKGROUND
  Rectovaginal fistulas (RVFs) have multiple causes, size and location on which the surgical treatment depends.
  
  
  METHODS
  The Authors consider different approaches to RVFs and describe a clinical case of recurrent high RVF.
  
  
  CONCLUSIONS
  Most RVFs can be successfully repaired, although many interventions may be necessary. A colostomy with delayed repair may improve RVFs outcome. Moreover, several authors indicate Mucosal Advancement Flap and Babcock-Bacon technique as the treatments of choice respectively for low and high RVFs (complex and recurrent) and emphasize the placement of endoscopic prothesis in cases of difficult healing of the anastomosis.
authors.forename: Michele
authors.initials: M
authors.lastname: Danzi
authors.forename: Fabozzi
authors.initials: F
authors.lastname: Massimiliano
authors.forename: Reggio
authors.initials: R
authors.lastname: Stefano
authors.forename: Pannullo
authors.initials: P
authors.lastname: Mario
authors.forename: Amato
authors.initials: A
authors.lastname: Bruno
authors.forename: Grimaldi
authors.initials: G
authors.lastname: Luciano
mesh_terms: D000368:Aged; D003127:Colposcopy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D019300:Medical Errors; D012006:Rectovaginal Fistula / Q000209:etiology* / Q000601:surgery*