Jeremy Sugrue1,2, Jan Kaminski1, Supriya Patel1,3, John Park1, Leela Prasad1, Slawomir Marecik1,2. 1. Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA. 2. Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois, USA. 3. Division of Colon and Rectal Surgery, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USA.
Abstract
BACKGROUND: Rectovaginal fistulas (RVF) can cause significant physical discomfort and psychological distress for patients and remain amongst the most challenging disorders for surgeons. METHODS: A 28-year-old female with a history of a traumatic cloaca repaired 12 years prior was diagnosed with a recurrent RVF and underwent repair using a rectal wall advancement flap reinforced with posterior vaginal wall plication. This case is used to demonstrate surgical technique. The study adhered to the prescribed ethical guidelines. Informed consent was obtained from the patient to use the video recording of her operation for educational purposes. RESULTS: The patient had an uneventful postoperative course. The fistula was fully healed without any signs or symptoms of recurrence at 8 weeks follow-up exam. Her protective ileostomy was successfully closed. CONCLUSIONS: Transanal repair of a RVF through creation of a rectal advancement flap and plication of redundant vaginal wall can be used to treat appropriately selected patients with significant tissue defects.
BACKGROUND:Rectovaginal fistulas (RVF) can cause significant physical discomfort and psychological distress for patients and remain amongst the most challenging disorders for surgeons. METHODS: A 28-year-old female with a history of a traumatic cloaca repaired 12 years prior was diagnosed with a recurrent RVF and underwent repair using a rectal wall advancement flap reinforced with posterior vaginal wall plication. This case is used to demonstrate surgical technique. The study adhered to the prescribed ethical guidelines. Informed consent was obtained from the patient to use the video recording of her operation for educational purposes. RESULTS: The patient had an uneventful postoperative course. The fistula was fully healed without any signs or symptoms of recurrence at 8 weeks follow-up exam. Her protective ileostomy was successfully closed. CONCLUSIONS: Transanal repair of a RVF through creation of a rectal advancement flap and plication of redundant vaginal wall can be used to treat appropriately selected patients with significant tissue defects.
Authors: Rodrigo A Pinto; Thais V Peterson; Sherief Shawki; G Willy Davila; Steven D Wexner Journal: Dis Colon Rectum Date: 2010-09 Impact factor: 4.585
Authors: C B Tsang; R D Madoff; W D Wong; D A Rothenberger; C O Finne; D Singer; A C Lowry Journal: Dis Colon Rectum Date: 1998-09 Impact factor: 4.585
Authors: Natalia Uribe; Monica Millán; Miguel Minguez; Cristina Ballester; Francisco Asencio; Vicente Sanchiz; Pedro Esclapez; Juan Ruiz del Castillo Journal: Int J Colorectal Dis Date: 2006-08-02 Impact factor: 2.796