Surgical management of rectovaginal fistula

Despite various advances in surgical technique, improvements in technology and the ongoing accumulation of knowledge gained by clinical experience, rectovaginal fistulas remain complicated entities to treat. Arguably, achieving definitive success in its repair can be as troublesome to the surgeons undertaking the challenge of treatment as it is debilitating to those that suffer from its manifestations. Multiple options exist in the armamentarium to repair rectovaginal fistula. Low, small fistulas, typically a result of cryptoglandular disease or obstetrical trauma, are amenable to local repairs, often without protective diversion.
Source: Seminars in Colon and Rectal Surgery - Category: Gastroenterology Authors: Source Type: research