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Related Experiment Videos

Rectovaginal fistula: initial experience.

H Stern1, Z Gamliel, T Ross

  • 1Division of General Surgery, Mount Sinai Hospital, Toronto, Ont.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|September 1, 1988
PubMed
Summary
This summary is machine-generated.

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Rectovaginal fistulas, though uncommon, cause disabling symptoms. Surgical repair using endorectal advancement flaps yielded excellent results in most patients, offering effective treatment for this condition.

Area of Science:

  • Gastroenterology
  • Gynecology
  • Colorectal Surgery

Background:

  • Rectovaginal fistulas are rare but debilitating conditions.
  • Symptoms include involuntary passage of feces or flatus through the vagina.
  • Most patients experienced prolonged symptoms before diagnosis and treatment.

Purpose of the Study:

  • To report the surgical experience with rectovaginal fistulas.
  • To evaluate the effectiveness of endorectal advancement flaps for fistula repair.
  • To provide recommendations for management based on fistula etiology.

Main Methods:

  • Retrospective review of 10 patients diagnosed with rectovaginal fistula between December 1982 and July 1986.
  • Surgical repair utilizing endorectal advancement flaps in seven patients.

Related Experiment Videos

  • Analysis of fistula etiology, duration, and treatment outcomes.

    • Main Results:

    • The majority of fistulas were trauma-related and present for over six months.
    • Endorectal advancement flaps achieved excellent results in seven treated patients.
    • No spontaneous healing was observed in fistulas related to inflammatory bowel disease.

    Conclusions:

    • Endorectal advancement flaps are effective for rectovaginal fistula repair.
    • A 6-month waiting period is recommended for small, obstetric trauma-related fistulas due to potential spontaneous healing.
    • Fistulas from inflammatory bowel disease require prompt surgical intervention when medically feasible.