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New option for recurrent rectovaginal fistulas
P N Haray1, G Stiff, M E Foster
1Department of Surgery, East Glamorgan General Hospital, Wales, United Kingdom.
Diseases of the Colon and Rectum
|April 1, 1996
Summary
This study presents a surgical technique for recurrent rectovaginal fistulas using a diamond-shaped cutaneous flap and endoanal flap. The method achieved complete fistula healing without affecting continence, offering a viable option for patients.
Area of Science:
- Surgical Techniques
- Gastroenterology
- Gynecologic Surgery
Background:
- Recurrent rectovaginal fistulas pose a significant challenge in treatment.
- Previous surgical interventions may fail, necessitating alternative approaches.
Observation:
- A novel operative technique involving a diamond-shaped cutaneous flap advancement into the vagina is described.
- This is combined with a standard endoanal advancement flap.
Findings:
- The described technique resulted in complete healing of the rectovaginal fistula.
- Importantly, no impairment of fecal continence was observed post-operatively.
Implications:
- This surgical approach offers a promising alternative for managing recurrent rectovaginal fistulas.
- It is particularly suitable for frail and elderly patients who may not tolerate more extensive procedures.