Repair of a recurrent rectovaginal fistula with a biological graft.
This case involves a patient with the congenital absence of the lower third of the vagina. While undergoing surgical restoration of the vagina, she sustained a laceration, which ultimately led to the development of a rectovaginal fistula. After two unsuccessful attempts at repair, the recommendation was for a diverting colostomy with another attempted repair, and she presented to our clinic to discuss other possible surgical options. The patient underwent repair of the fistula using a porcine-derived small intestinal submucosal extracellular matrix graft, which resulted in the repair of the rectovaginal fistula without recurrence at 18 months' follow-up.
The Woman's Hospital of Texas, Houston, TX, USA, katebergermd@aol.com.
Kate
K
Berger
Jonathan
J
Faro
Sebastian
S
Faro
D000328:Adult; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000601:surgery*; D019737:Transplants; D014621:Vagina / Q000002:abnormalities