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[Rectovaginal fistulas in patients with Crohn disease--therapy and prognosis]
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|February 5, 1999
Abstract:
Perianal and especially rectovaginal fistulas in Crohn's disease represent a great therapeutic dilemma. Surgical intervention is mandatory in the impending destruction of the anal sphincter mechanism, weighed against the efficacy of the methods available. We report on the surgical approach in 25 women with rectovaginal fistula, concluding that either levator plasty or mucosal flap is the procedure of choice.