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Five-layer repair of rectovaginal fistula using a vaginal approach. A case report
B T Haylen1, A J Cerqui, A P Meagher
1Department of Gynaecology, St Vincent's Hospital, Darlinghurst, New South Wales.
Abstract:
We present a case of a rectovaginal fistula which was revealed as an incidental finding at the time of posterior colporrhaphy. We describe a previously unreported 5-layer repair through a vaginal approach in preference to the more frequently reported approaches of endoanal flap or conversion to a fourth degree tear. The diagnosis and management of rectovaginal fistulas is discussed.