title: Transvaginal primary repair of a suprasphincteric rectovaginal fistula.
abstract: OBJECTIVE
  Rectovaginal fistula repair is one of the most challenging gynecological surgical procedures. This video is intended to serve as a tutorial for surgical repair.
  
  
  METHODS
  An 80-year-old woman who developed a traumatic suprasphincteric rectovaginal fistula was managed through layered transvaginal repair without flaps.
  
  
  RESULTS
  Anatomy restoration was completed without complications.
  
  
  CONCLUSIONS
  The procedure described in this video was effective and safe. Vaginal route should be considered as a valid surgical approach for rectovaginal fistula repair.
authors.affiliation: University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Milani
authors.affiliation: University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Frigerio
authors.affiliation: San Gerardo Hospital, Via Pergolesi 33, 20900, Monza, MB, Italy. stefano.manodoro@gmail.com.
authors.forename: Stefano
authors.initials: S
authors.lastname: Manodoro
authors.affiliation: University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
authors.forename: Alice
authors.initials: A
authors.lastname: Cola
authors.affiliation: University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
authors.forename: Martina
authors.initials: M
authors.lastname: Sicuri
authors.affiliation: University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Spelzini
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
keywords: Layered primary repair; Rectovaginal fistula; Traumatic fistula; Vaginal route