Related Experiment Video
Updated: Mar 27, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Transvaginal primary repair of a suprasphincteric rectovaginal fistula
Rodolfo Milani1, Matteo Frigerio1, Stefano Manodoro2
1University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
Introduction And Hypothesis:
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.
Conclusion:
The procedure described in this video was effective and safe. Vaginal route should be considered as a valid surgical approach for rectovaginal fistula repair.

