Reconstruction of rectovaginal fistula with sphincter disruption by combining rectal mucosal advancement flap and anal sphincteroplasty

1999 ◽  
Vol 42 (11) ◽  
pp. 1432-1437 ◽  
Author(s):  
K. S. Khanduja ◽  
A. Padmanabhan ◽  
B. A. Kerner ◽  
W. E. Wise ◽  
P. S. Aguilar
Keyword(s):  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Sphincter Disruption ◽  
Anal Sphincteroplasty ◽  
Rectal Mucosal Advancement

scholarly journals Rectovaginal Fistula With Double Vagina and Anastomotic Stenosis: A Case Report Following Rectal Cancer Surgery

2021 ◽  
Vol 11 ◽  
Author(s):  
Qiwei Li ◽  
Jianhua Sun ◽  
Lu Yin ◽  
Fu Ji
Keyword(s):  
Rectal Cancer ◽  
Rectovaginal Fistula ◽  
Optimal Strategies ◽  
Advancement Flap ◽  
Cancer Surgery ◽  
Anastomotic Stenosis ◽  
Complex Case ◽  
Rectal Cancer Surgery ◽  
Transanal Endoscopic Surgery ◽  
Rectal Mucosal Advancement

Rectovaginal fistula (RVF) occurs as a result of abnormal epithelialized connections between the rectum and vagina. Rectal cancer surgery remains the major cause of RVF. Here, we report a rare postoperative complication in which a patient with a double uterine and vagina received RVF following rectal cancer surgery. The patient received radiotherapy and developed rectal anastomotic stenosis leading to scar hyperplasia around the fistula, making repair difficult. Complex RVF is prone to release, which despite the multitude of procedures and treatments reported, optimal strategies remain controversial. Our previous studies showed how the use of rectal mucosal advancement flap (RMAF) with transanal endoscopic surgery (TES) can repair mid-low RVF. We successfully repaired RVF and rectal anastomotic stenosis with staging TES in this complex case. This highlights the safety and utility of TES treatment for complex RVF. Further studies are now required to confirm its effectiveness.

Endorectal advancement flap with muscular plication: a modified technique for rectovaginal fistula repair

2010 ◽  
Vol 13 (8) ◽  
pp. 921-925 ◽  
Author(s):  
V. de Parades ◽  
Z. Dahmani ◽  
P. Blanchard ◽  
J.-D. Zeitoun ◽  
S. Sultan ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Fistula Repair ◽  
Modified Technique ◽  
Endorectal Advancement Flap

Redo Repair of a Recurrent Rectovaginal Fistula With Rectal Advancement Flap

2020 ◽  
Vol 63 (7) ◽  
pp. 1000-1000
Author(s):  
Adam Studniarek ◽  
Daniel J. Borsuk ◽  
Jean-Sébastien Trépanier ◽  
Kunal Kochar ◽  
John J. Park ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Rectal Advancement Flap

scholarly journals Endorectal Local Advancement Flap in Treating Rectovaginal Fistula-Our Experience in Bangabandhu Sheikh Mujib Medical University

2019 ◽  
Vol 18 (2) ◽  
pp. 62-66
Author(s):  
Md Shahadot Hossain Sheikh ◽  
Md Omar Faruk ◽  
Farhana Begum ◽  
Mst Maksuda Parvin ◽  
Md Rayhanur Rahma ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Complete Healing ◽  
Flap Necrosis ◽  
Fistula Repair ◽  
Successful Management ◽  
Colorectal Surgeons ◽  
Advancement Flaps ◽  
Medical University

Background: Rectovaginal fistula is abnormal epithelial-lined connections between the rectum and vagina. Rectovaginal fistula represents an often devastating condition in patients and a challenge for surgeons. Successful management of this condition must take into account a variety of variables including the etiology, size, and location of the fistula. Repair options include advancement flaps, plugs, fistula ligation, and tissue interposition. Method: We treated five cases of low rectovagianl fistula by endorectal local advancement flap in Colorectal Surgery Unit of Bangabandhu Sheikh Mujib Medical University between January 2011 to January 2014. Aim of this study was to evaluate the outcome of Endorectal local advancement flap in terms of cure, recurrence or failure in the management of rectovaginal fistula. Result: Out of five, four patients had rectovaginal fistula due to obstetric cause, one was post-surgical. One patient developed partial flap necrosis. The patient was managed by conservative means. Post-operative hospital stay was 5 days (range 4 -7 days). All patients achieved complete healing after the procedure. Conclusion: Rectovaginal fistula repair by endorectal local advancement flap should be part of the armamentarium of colorectal surgeons for treating persistent rectovaginal fistula. Journal of Surgical Sciences (2014) Vol. 18 (2) : 62-66

scholarly journals Repair of a recurrent traumatic rectovaginal fistula using vaginal wall plication to reinforce a rectal wall advancement flap

2016 ◽  
Vol 2 ◽  
pp. 65-65
Author(s):  
Jeremy Sugrue ◽  
Jan Kaminski ◽  
Supriya Patel ◽  
John Park ◽  
Leela Prasad ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Rectal Wall ◽  
Advancement Flap ◽  
Vaginal Wall

scholarly journals 12: Repair of rectovaginal fistula, external anal sphincteroplasty, and perineorrhaphy

2019 ◽  
Vol 220 (3) ◽  
pp. S771
Author(s):  
A.W. Gillingham ◽  
J. Geynisman-Tan ◽  
O. Brown ◽  
K. Kenton ◽  
M.G. Mueller ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Anal Sphincteroplasty

Endorectal advancement flap for treatment of simple rectovaginal fistula

1982 ◽  
Vol 25 (4) ◽  
pp. 297-300 ◽  
Author(s):  
David A. Rothenberger ◽  
Carl E. Christenson ◽  
Emmanuel G. Balcos ◽  
Jerry L. Schottler ◽  
Frederic D. Nemer ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Endorectal Advancement Flap
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