Management of rectovaginal fistulas and patient outcome

被引:36
作者
Abu Gazala, Mahmoud [1 ]
Wexner, Steven D. [1 ]
机构
[1] Cleveland Clin Florida, Dept Colorectal Surg, 2959 Cleveland Clin Blvd, Weston, FL 33331 USA
关键词
Advancement flap; Crohn's disease associated fistulas; radiation induced fistulas; gracilis interpositioning; martius flap; obstetric trauma; rectovaginal fistula; surgical repair; ENDORECTAL ADVANCEMENT FLAP; GRACILIS MUSCLE INTERPOSITION; PERIANAL CROHNS-DISEASE; ANORECTAL FISTULAS; PRIMARY REPAIR; ANAL FISTULAS; EFFICACY; TRANSPOSITION; RESECTION; QUALITY;
D O I
10.1080/17474124.2017.1296355
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Introduction: Rectovaginal fistulas are a relatively rare, but debilitating condition which pose a significant treatment challenge.Areas covered: In this manuscript we discuss the etiology, classification as well as the manifestations and evaluation of rectovaginal fistulas. We summarize the different surgical techniques and evaluate their success rates and perioperative considerations according to cited sources.Expert commentary: A deep understanding of the disease, treatment options, and familiarity with the different surgical treatment options available is mandatory for choosing the correct treatment. When the surgical treatment is tailored to the specific fistula and patient, many patients can eventually have successful resolution. This review will address the management and patient outcomes after treatment for rectovaginal fistulas.
引用
收藏
页码:461 / 471
页数:11
相关论文
共 51 条
[1]   RADIATION-INJURY OF THE RECTUM - EVALUATION OF SURGICAL-TREATMENT [J].
ANSELINE, PF ;
LAVERY, IC ;
FAZIO, VW ;
JAGELMAN, DG ;
WEAKLEY, FL .
ANNALS OF SURGERY, 1981, 194 (06) :716-724
[2]   Simple rectovaginal fistulas [J].
Baig, MK ;
Zhao, RH ;
Yuen, CH ;
Nogueras, JJ ;
Singh, JJ ;
Weiss, EG ;
Wexner, SD .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2000, 15 (5-6) :323-327
[3]   THE RADIATION-DAMAGED RECTUM - RESECTION WITH COLOANAL ANASTOMOSIS USING THE ENDOANAL TECHNIQUE [J].
COOKE, SAR ;
WELLSTED, MD .
WORLD JOURNAL OF SURGERY, 1986, 10 (02) :220-227
[4]   ANAL INCONTINENCE FOLLOWING OBSTETRICAL INJURY [J].
CORMAN, ML .
DISEASES OF THE COLON & RECTUM, 1985, 28 (02) :86-89
[5]   Rectovaginal Fistula: What Is the Optimal Strategy? An Analysis of 79 Patients Undergoing 286 Procedures [J].
Corte, Helene ;
Maggiori, Leon ;
Treton, Xavier ;
Lefevre, Jeremie H. ;
Ferron, Marianne ;
Panis, Yves .
ANNALS OF SURGERY, 2015, 262 (05) :855-861
[6]  
Daniels BT, 1949, THESIS
[7]   Novel treatment for recalcitrant rectovaginal fistulas: fat injection [J].
de Weerd, L. ;
Weum, S. ;
Norderval, S. .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2015, 26 (01) :139-144
[8]   Outcomes after repair of rectovaginal fistulas using bioprosthetics [J].
Ellis, C. Neal .
DISEASES OF THE COLON & RECTUM, 2008, 51 (07) :1084-1088
[9]   Long-term seton drainage for high anal fistulas in Crohn's disease - A sphincter-saving operation? [J].
Faucheron, JL ;
SaintMarc, O ;
Guibert, L ;
Parc, R .
DISEASES OF THE COLON & RECTUM, 1996, 39 (02) :208-211
[10]   Methods of repair for obstetric anal sphincter injury [J].
Fernando, Ruwan J. ;
Sultan, Abdul H. ;
Kettle, Christine ;
Thakar, Ranee .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2013, (12)