No abstract available.
Rectovaginal Fistula*

No abstract available.
Rectovaginal Fistula*

No abstract in English.
Kidney ; Rectovaginal Fistula

No abstract available.
Arteries ; Perforator Flap ; Rectovaginal Fistula

A case of massive transvaginal eversion of urinary bladder through a large vesicovaginal fistula is reported. It has developed by spillage of hyprochloride on prolapse uteri and accompanied with rectovaginal fistula. Satisfactory surgical repair of the fistula was obtained by reduction of bladder and urethral reconstruction using anterior bladder wall.
Fistula ; Prolapse ; Rectovaginal Fistula ; Urinary Bladder* ; Uterus ; Vesicovaginal Fistula

There are few reports on major complications after stapled hemorrhoidectomy, because it recently has been introduced to treat hemorrhoids and rectal mucosal prolapse. This presentation is a case of rectovaginal fistula that developed four days after stapled hemorrhoidectomy which was performed at another clinic. In this case, a relatively simple local repair with layered closure via a transanal approach was used. It worked well and satisfied the patient, while relieving her unpleasant, distressing symptoms. In my opinion, early surgical repair of a relatively large postoperative rectovaginal fistula is valid.
Hemorrhoidectomy* ; Hemorrhoids ; Humans ; Prolapse ; Rectovaginal Fistula*

Currarino triad is a hereditary condition diagnosed when three abnormalities are noted: (1) an anorectal malformation; (2) an anterior sacral defect and (3) a presacral mass. We experienced 3 cases of Currarino triad with severe constipation. All cases had presacral mass and sacral bony defect. One case had rectovaginal fistula, other one case had holoprosencephaly. Presacral masses were lipomeningomyelocele and epidermoid or dermoid cyst. We report three cases of Currarino triad with brief review of the related literature.
Constipation ; Dermoid Cyst ; Holoprosencephaly ; Rectovaginal Fistula

Anorectal duplications account for only 5% of gastrointestinal duplications, and cases with involvement of the anal canal are much rarer. Nearly all anorectal duplications are posterior to the rectum; duplications located anterior to the normal rectum are highly unusual, and only a few cases have been reported. We report the case of an anterior anorectocolonic duplication presenting as a rectovaginal fistula in a 2-month-old infant. After diagnosis, the duplication was excised completely without further intestinal complications.
Anal Canal ; Diagnosis ; Fistula* ; Humans ; Infant* ; Rectovaginal Fistula ; Rectum

Treatment of rectovaginal fistula (RVF) is extremely difficult. Successful performing operation to treat RVF is a major challenge, because recurrence has remained common. RVF has significant negative influence on the patient's quality of life and causes social embarrassment. Up to now, no standard surgical technique is accepted worldwide, no ideal treatment option is suitable for all the patients, and no recommendation of clinical treatment guideline of RVF is available. English literatures were reviewed in this article, from the causes of rectovaginal fistula, classification, diagnosis, surgical methods, surgical approach, minimally invasive technology application, perioperative management and the cause of operation failure aspects were reviewed in detail.
Female ; Humans ; Quality of Life ; Rectovaginal Fistula ; therapy ; Recurrence

OBJECTIVETo investigate the safety and feasibility of the posterior transsphincteric approach for rectovaginal fistulas repair.

METHODData of 23 cases of rectovaginal fistulas treated by the transsphincteric approach in the Peking Union Medical College Hospital, from April 1994 to May 2014 were reviewed. The success rate of this surgical procedure and the postoperative complications were analyzed.

RESULTSThe procedure of the transsphincteric approach for the repair of rectovaginal fistulas was performed successfully in all 23 cases. Three patients(13%) suffered surgical wound infection, which healed after regular dressing changes. In 19 cases, the fistulas were successfully repaired with an initial healing rate of 82.6%. The surgical repair failed to accomplish initial healing in 3 cases(13%). No complications including rectocutaneous fistula or anal sphincter malfunction occurred in these patients.

CONCLUSIONThe transsphincteric approach for the repair of rectovaginal fistulas is a safe and feasible procedure with a good success rate.