"Rectovaginal fistula" from_date:2012

Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited.964DISEASES OF THE COLON & RECTUM VOLUME 65: 8 (2022)CLINICAL PRACTICE GUIDELINESThe American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Anorectal Abscess -tate line) and the inside of the posterior fourchette; “high,” with a tract connecting the upper vagina (at the level of the cervix) with the rectum; and “middle” with a tract that lies in between these levels.27–29 The terms “anovaginal fistula” and “low rectovaginal fistula” may be used interchangeably. RVFs may also be classified as “simple” or “complex.” Simple RVFs have a low, small-diameter

Rectovaginal Fistula: What is the Role of Martius Flap and Gracilis Muscle Interposition in the Therapeutic Strategy? While numerous treatments exist for management of rectovaginal fistula, none has demonstrated its superiority. The role of diverting stoma remains controversial. Few series include Martius flap in the armamentarium. Determine the role of gracilis muscle interposition and Martius flap in the surgical management of rectovaginal fistula. Retrospective cohort study of a pooled prospectively maintained database from 3 centers. All consecutive eligible patients with rectovaginal fistula undergoing Martius flap and gracilis muscle interposition were included from 2001 to 2022. Success was defined by absence of stoma and rectovaginal fistula. Sixty-two patients were included with 55

The prevention of rectovaginal fistula after rectal cancer surgery by packing with laparoscopic dislocated fat flap containing ovarian vascular pedicle anterior to the anastomotic stoma: a parallel group randomized controlled trial protocol. Rectovaginal fistula (RVF) is an abnormal channel formed by epithelial tissue between the anterior wall of the rectum and the posterior wall of the vagina , which manifests as vaginal gassing and defecation. It is one of the common complications of female pelvic surgeries. With the increased number of proctectomies for rectal cancer, the number of postoperative rectovaginal fistulas also increases. Once RVF occurs, the failure rate is still high with various treatments available. RVF causes great suffering to women and is still a major problem

Rectovaginal Fistulas: Comparative Analysis of Laparoscopic Assisted Pullthrough and Posterior Sagittal Anorectoplasty. Compare the laparoscopic treatment (LT) and the posterior sagittal anorectoplasty treatment (ST) of the rectovaginal fistulas (RvaF) in a single center. We have previously reported feasibility and results of LT in this rare variety of anorectal malformations (ARM) [1-3]. 19

Multidisciplinary Approach to Evaluation of Rectovaginal Fistulas. Thorough evaluation of a rectovaginal fistula (RVF) is essential to optimize surgical repair. The underlying cause should be addressed and treated, which can affect the timing as well as approach to repair. It is imperative to be well-prepared as the highest chance of successful closure occurs during the initial repair attempt

Gracilis Flap Repair for Reoperative Rectovaginal Fistula. Surgical treatment of recurrent rectovaginal fistulas is notoriously difficult. Placement of the gracilis muscle between the vagina and anus is an advanced technique used to close persistent fistulas. We have utilized this procedure for recalcitrant fistulas and hypothesized that a gracilis interposition would offer a good treatment option for patients with refractory rectovaginal fistulas, regardless of underlying etiology. The purpose of this study was to investigate healing rates of gracilis interposition in patients with refractory rectovaginal fistulas. Following institutional review board approval, a retrospective review of all adult female patients with a diagnosis of rectovaginal fistula between January 2009 and August

Female with two perineal openings: Do not forget rectovaginal fistula. Anorectal malformations (ARM) in females are identified by abnormal location of the anal opening. Management is guided by clinical examination to find the number of perineal openings. Two openings in the perineum of a female may be seen in cases of imperforate anus without fistula, vaginal agenesis with vestibular fistula

Tissue selecting technique for adult women with low rectovaginal fistula. This study aimed to assess the effect of tissue selecting technique (TST) on low rectovaginal fistula (RVF) repair. Patients with low RVF were included in the prospective study from August 2009 and January 2013 in xx hospital. Patients assigned to the TST or control groups based on the different surgical methods. Surgical

Surgical Intervention is Effective for the Treatment of Crohn's related Rectovaginal Fistulas: Experience From A Tertiary Inflammatory Bowel Disease Practice. Rectovaginal fistula occurs in up to 10-20% of women with Crohn's disease, significantly affecting their quality of life. We sought to determine outcomes of single and repeat operative interventions. A retrospective review of all adult patients with a Crohn's related rectovaginal fistula who underwent an operation between 1995 to 2021 was performed. Data collected included patient demographics, Crohn's related medical treatment, surgical intervention, postoperative outcomes, and fistula outcomes. A total of 166 patients underwent 360 operations; mean age was 42.8 (+/-13.2) years. Thirty-four (20.7%) patients were current and 58 (35.4

Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited.1117Diseases of the Colon & ReCtum Volume 59: 12 (2016) the american society of Colon and Rectal sur-geons is dedicated to ensuring high-quality pa-tient care by advancing the science that lie somewhere between.25 t he terms “anovaginal fistula” and “low recto-vaginal fistula” may be used interchangeably. Rectovaginal fistulas may also be classified as “simple” or “complex.” Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal FistulaJon D. Vogel, M.D. • Eric K. Johnson, M.D. • Arden M. Morris, M.D. • Ian M. Paquette

Women's experiences of rectovaginal fistula: an ethno- religious experience. Obstetric fistulas are one of the most tragic injuries that occur after difficult, prolonged childbirth without timely intervention. These fistulas cause discomfort to patients and result in emotional, social, and even physical suffering. The present study aimed to explore the experiences of women with rectovaginal ), consequence (three sub-themes of sleep disturbance, mental crisis, and isolation), and ultimately panic (three sub-themes of humiliation, secrecy, and fear). The rectovaginal fistula is a complex and multifaceted problem with social, individual, familial, religious, and ethnic-environmental dimensions, so there is no simple solution to interact with this problem and there is a need to find a solution

Rectovaginal Fistula Rectovaginal Fistula: Practice Essentials, Anatomy, Pathophysiology For YouNews & PerspectiveDrugs & DiseasesCME & EducationAcademyVideoDecision PointEdition:EnglishMedscapeEnglishDeutschEspañolFrançaisPortuguêsUKNewUnivadisLog In Sign Up It's Free!English EditionMedscape * English * Deutsch * Español * Français * Português * UKNewUnivadisXUnivadis from MedscapeRegisterLog =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTkzMjc3LW92ZXJ2aWV3processing....Drugs & Diseases > General Surgery Rectovaginal FistulaUpdated: Mar 22, 2021 * Author: Dana Taylor, MD, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF more... * * Share * Email * Print * FeedbackClose * Facebook * Twitter * LinkedIn * WhatsAppSections Rectovaginal Fistula * * Sections Rectovaginal Fistula * Overview * * * Practice Essentials * Anatomy

Experiences of Rectovaginal Fistula in Anorectal Malformation. Rectovaginal fistulas (RVFs) are very rare malformations in females with anorectal malformations (ARMs). Here, we share the clinical features of RVF and report the long-term outcomes. RVF patients were classified using a retrospective analysis of ARM patients who underwent operations at Seoul National University Hospital between

Minimally invasive treatment of mid-low rectovaginal fistula: a transanal endoscopic surgery study. Treatment of rectovaginal fistulas (RVFs) is extremely difficult. No standard surgical procedure is accepted worldwide. The aim of this article was to evaluate a minimally invasive procedure for the repair of mid-low rectovaginal fistula. This is a retrospective review of 17 patients who underwent minimally invasive surgery for the repair of mid-low rectovaginal fistulas (located in the lower or middle one-third of the vaginal wall) at our center between August 2016 and October 2018. The anal approach was adopted for 12 patients: 6 patients were treated directly by rectal mucosal advancement flap (RMAF) with transanal endoscopic surgery (TES), while the other 6 patients underwent initial TES

Combined Laparoscopic and Perineal Approach to Omental Interposition Repair of Complex Rectovaginal Fistula. Surgical repair of rectovaginal fistula remains a challenge. Complex and recurrent rectovaginal fistula repairs often fail because of scarring and devascularization of the surrounding tissue. Omental interposition may promote healing by introducing bulky vascularized tissue was continued to connect with the perineal dissection. The mobilized omentum was pulled down between the rectum and the vagina.The perineal operator secured the omentum around the rectal closure and at skin level with absorbable sutures. All of the patients had a defunctioning ileostomy or colostomy before omental repair. Patients underwent repair for complex or recurrent rectovaginal fistulas with this novel

Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. All of the simple rectovaginal fistula cases healed after the operation. Five

A Rare Case of Rectovaginal Fistula Due to Consensual Sexual Intercourse Rectovaginal after sexual intercourse are rare. We report a healthy recently married 21-year-old woman who presented to the Jordan Healthcare Centre, Amman, Jordan in 2014 with a five-week history of passing and stool from the vagina. Six weeks prior, she had sustained a rectovaginal injury during initial consensual

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

Feasibility and Safety of Additional Injection of Autologous Platelet-rich Stroma to Surgical Treatment of Rectovaginal Fistulas Is the addition of platelet-rich stroma (PRS) injection, a form of autologous call therapy, to surgical treatment for rectovaginal fistula feasible and safe? The primary endpoints of this study are feasibility and safety until 12 months after surgery. Secondary

Martius' flap for recurrent perineal and rectovaginal fistulae in a patient with Crohn's disease, endometriosis and a mullerian anomaly. Rectovaginal fistulas represent 5% of all anorectal fistulae and are a disastrous manifestation of Crohn's disease that negatively affects patients' social and sexual quality of life. Treatment remains challenging for colorectal surgeons, and the recurrence , and it is considered a good option in cases of rectovaginal fistulas in patients with Crohn's disease. The patient should be referred to a colorectal centre with expertise in this disease to increase the surgical success rate.