Related Experiment Videos
[The endorectal repair of rectovaginal fistulae]
G Milito1, A Pisani, D Venditti
1Cattedra di Clinica Chirurgica, Ospedale S. Eugenio, Università degli Studi Tor Vergata, Roma.
Background:
Twenty-one patients who had simple rectovaginal fistulas were treated at the Surgical Department of "Tor Vergata" University from 1992 to 1996 all of whom were at the first approach.
Methods:
The fistulas were treated with complete excision of the external tract and primary closure of the internal opening with advancement of a rectal mucosal flap, distal to the origin fistulas opening. The vaginal side is left open for drainage.
Results:
Eighteen of the twenty-one patients had good results; three patients required reoperation for recurrences; all of them had satisfactory results.
Conclusions:
The advancement flap technique was very useful for simple rectovaginal fistulas with any sphincter damage, and it is very well tolerated by patients.