Mason surgical treatment of recurrent rectovaginal fistula in 13 cases

VernacularTitle:Mason术治疗复发性直肠阴道瘘13例分析
Author: Zhenfeng WANG ; Aizhi GENG ; Bo ZHANG ; Shufan JIA ; Yi XIAO
Publication Type:Journal Article
Keywords: Rectovaginal fistula; Mason operation
From: Chinese Journal of Postgraduates of Medicine 2010;33(26):34-36
CountryChina
Language:Chinese
Abstract: Objective To investigate the surgical strategy of recurrent rectuvaginal fistula. Methods Retrospectivly analyzed the clinical data of 13 patients with recurrent rectovaginal fistula from December 2001 to December 2008. The etiopathogenisis and the ways of treatment were analyzed. Results All the 13 patients with a transverse colostomy surgical repaired with Mason operation in the secondary intention,and recepted closure of colostomy in the third intention for treatment, all patients were cured. No recurrent fistula was identified with postoperative follow-up 4 - 84 months. Conclusions After recurrent rectovaginal fistula with multiple surgical treatment,the blood supply of local tissue is poor,the scar is serious. Selecting the appropriate timing of operation, adequate preoperative preparation, the application of transverse colostomy and Mason operation in different period could significantly enhance the successful operation rate.