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A transvaginal approach to rectovaginal fistulae for the colorectal surgeon: technical notes and case series

A transvaginal approach to rectovaginal fistulae for the colorectal surgeon: technical notes and case series
A transvaginal approach to rectovaginal fistulae for the colorectal surgeon: technical notes and case series

Rectovaginal fistulae (RVF) are not uncommonly seen by the colorectal surgeon and gynaecologist, often debilitating for patients and typically managed with multiple operative procedures, achieving control rather than cure. Transvaginal repair is the least common surgical approach but has clear advantages and equivalent healing rates to other approaches. Here, we describe a simple, safe and effective flapless transvaginal technique for the repair of primary and recurrent low- and mid-level RVF of varying aetiology. We report 15 cases of RVF (nine recurrent) treated by this technique at a single UK centre. The healing rate was 67%. There were no major complications. Median follow-up was 48 months.

Procedure, Rectovaginal fistula, Repair, Technique, Transvaginal
1123-6337
1-7
Bhome, R.
d7b1e0d3-5925-460a-871d-5f52f69c649b
Monga, A.
e28686b0-b128-403d-b6d5-5e39e738c7d3
Nugent, K. P.
79fcb89d-6ff2-47b8-ac2c-2afb24954456
Bhome, R.
d7b1e0d3-5925-460a-871d-5f52f69c649b
Monga, A.
e28686b0-b128-403d-b6d5-5e39e738c7d3
Nugent, K. P.
79fcb89d-6ff2-47b8-ac2c-2afb24954456

Bhome, R., Monga, A. and Nugent, K. P. (2018) A transvaginal approach to rectovaginal fistulae for the colorectal surgeon: technical notes and case series. Techniques in Coloproctology, 1-7. (doi:10.1007/s10151-018-1775-4).

Record type: Article

Abstract

Rectovaginal fistulae (RVF) are not uncommonly seen by the colorectal surgeon and gynaecologist, often debilitating for patients and typically managed with multiple operative procedures, achieving control rather than cure. Transvaginal repair is the least common surgical approach but has clear advantages and equivalent healing rates to other approaches. Here, we describe a simple, safe and effective flapless transvaginal technique for the repair of primary and recurrent low- and mid-level RVF of varying aetiology. We report 15 cases of RVF (nine recurrent) treated by this technique at a single UK centre. The healing rate was 67%. There were no major complications. Median follow-up was 48 months.

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10.1007%2Fs10151-018-1775-4 - Version of Record
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More information

Accepted/In Press date: 16 December 2017
e-pub ahead of print date: 30 March 2018
Keywords: Procedure, Rectovaginal fistula, Repair, Technique, Transvaginal

Identifiers

Local EPrints ID: 419343
URI: https://eprints.soton.ac.uk/id/eprint/419343
ISSN: 1123-6337
PURE UUID: 5a7b3692-4221-41db-93d3-2c5c13a85451

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Date deposited: 11 Apr 2018 16:30
Last modified: 13 Mar 2019 18:38

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