Management of Rectovaginal Fistula

Rectovaginal fistulas remain a challenging problem for surgeons to correct despite advances in surgical techniques. These fistulas may be caused by a variety of disease processes and multiple options exist for the repair of a rectovaginal fistula. The etiology, location and status of the surrounding tissue determine the most appropriate option for repair. Low, small fistulas caused by cryptoglandular disease or obstetrical trauma, are generally amenable to local repairs. In contrast, high or more complex fistulas and ones which result from inflammatory bowel disease, malignancy, or radiation, often warrant more extensive repairs often with the protection of proximal diversion.

Source: Seminars in Colon and Rectal Surgery - January 11, 2016 Category: Gastroenterology Authors: Ann C. Lowry Source Type: research