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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Related Experiment Video

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Recto-vaginal fistulas: A case series.

Imad Ziouziou1, Safaa Ammouri2, Mohammed Ouazni3

  • 1Service d'urologie, CHU d'Agadir, Agadir, Morocco; Equipe de recherche en médecine translationnelle et épidémiologie, Laboratoire des sciences de la santé, Faculté de médecine et de pharmacie, Université Ibn Zohr, Agadir, Morocco.

International Journal of Surgery Case Reports
|June 15, 2020
PubMed
Summary

Surgical repair of rectovaginal fistulas (RVF) using Martius and Falandry techniques shows encouraging results. These methods demonstrate feasibility and efficacy with low morbidity, offering effective treatment options for RVF.

Keywords:
FalandryIncontinenceMartiusRectovaginal fistula

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Area of Science:

  • Surgical innovation
  • Gynecologic surgery
  • Colorectal surgery

Background:

  • Rectovaginal fistula (RVF) is an abnormal connection between the rectum and vagina.
  • Current surgical treatments for RVF lack a universally superior technique.
  • Evaluating established techniques for new applications is crucial.

Purpose of the Study:

  • To assess the feasibility and efficacy of Martius and Falandry techniques for rectovaginal fistula (RVF) repair.
  • To evaluate the functional outcomes of these surgical interventions.
  • To contribute to the limited literature on RVF treatment options.

Main Methods:

  • Retrospective case series of 11 patients with rectovaginal fistulas (RVF).
  • Patients treated between 2011-2014 at a single tertiary care center.
  • Surgical repair utilized Falandry (8 patients) and Martius (3 patients) techniques.

Main Results:

  • Successful RVF closure in 72.7% of patients (8/11).
  • No significant postoperative complications or long-term functional deficits (fecal incontinence, dyspareunia).
  • Low morbidity associated with both Martius and Falandry techniques.

Conclusions:

  • Martius and Falandry techniques offer encouraging outcomes for rectovaginal fistula (RVF) repair.
  • These methods present a viable, low-morbidity option in the absence of a consensus treatment.
  • Further research is needed to establish definitive treatment guidelines for RVF.