title: Management of rectovaginal fistulas and patient outcome.
abstract: Rectovaginal fistulas are a relatively rare, but debilitating condition which pose a significant treatment challenge. Areas covered: In this manuscript we discuss the etiology, classification as well as the manifestations and evaluation of rectovaginal fistulas. We summarize the different surgical techniques and evaluate their success rates and perioperative considerations according to cited sources. Expert commentary: A deep understanding of the disease, treatment options, and familiarity with the different surgical treatment options available is mandatory for choosing the correct treatment. When the surgical treatment is tailored to the specific fistula and patient, many patients can eventually have successful resolution. This review will address the management and patient outcomes after treatment for rectovaginal fistulas.
authors.affiliation: a Department of Colorectal Surgery , Cleveland Clinic Florida , Weston , FL , USA.
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Abu Gazala
authors.affiliation: a Department of Colorectal Surgery , Cleveland Clinic Florida , Weston , FL , USA.
authors.forename: Steven D
authors.initials: SD
authors.lastname: Wexner
mesh_terms: D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012006:Rectovaginal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Advancement flap; Crohn’s disease associated fistulas; gracilis interpositioning; martius flap; obstetric trauma; radiation induced fistulas; rectovaginal fistula; surgical repair