Rectovaginal Fistulae

被引：47

作者：

Das, Bidhan ^{[1
,2
]}

Snyder, Michael ^{[2
]}

机构：

[1] Univ Texas Houston, Div Colon & Rectal Surg, Dept Surg, Houston, TX USA

[2] Univ Texas Houston, Dept Surg, 6550 Fannin St,Suite 2307, Houston, TX 77030 USA

来源：

CLINICS IN COLON AND RECTAL SURGERY | 2016年 / 29卷 / 01期

关键词：

anovaginal fistula; rectovaginal fistula; advancement flap; Martius flap; fistula plug; GRACILIS MUSCLE INTERPOSITION; HOUSE ADVANCEMENT FLAP; TERM-FOLLOW-UP; CROHNS-DISEASE; ANOVAGINAL FISTULAS; FIBRIN GLUE; IN-ANO; REPAIR; TRANSPOSITION; MANAGEMENT;

D O I：

10.1055/s-0035-1570393

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Rectovaginal fistulae are abnormal epithelialized connections between the rectum and vagina. Fistulae from the anorectal region to the posterior vagina are truly best characterized as anovaginal or very low rectovaginal fistulae. True rectovaginal fistulae are less common and result from inflammatory bowel disease, trauma, or iatrogenic injury. A very few patients are asymptomatic, but the symptoms of rectovaginal fistula are incredibly distressing and unacceptable. Diagnostic approach, timing, and choice of surgical intervention, including sphincteroplasty, gracilis flaps, Martius flaps, and special circumstances are discussed.

引用

页码：50 / 56

页数：7

共 36 条

[31] The natural history of fistulizing Crohn's disease: A population-based study. [J].

Schwartz, DA ;

Loftus, EV ;

Tremaine, WJ ;

Pannaccione, R ;

Sandborn, WJ .

GASTROENTEROLOGY, 2000, 118 (04) :A337-A337

[32] Contrast-enhanced endosonography for the diagnosis of anal and anovaginal fistulas [J].

Sudol-Szopinska, I ;

Jakubowski, W ;

Szczepkowski, M .

JOURNAL OF CLINICAL ULTRASOUND, 2002, 30 (03) :145-150

[33] Anal sphincter integrity and function influences outcome in rectovaginal fistula repair [J].

Tsang, CBS ;

Madoff, RD ;

Wong, WD ;

Rothenberger, DA ;

Finne, CO ;

Singer, D ;

Lowry, AC .

DISEASES OF THE COLON & RECTUM, 1998, 41 (09) :1141-1146

[34] Gracilis muscle interposition for the treatment of recto-urethral and rectovaginal fistulas: a retrospective analysis of 35 cases [J].

Ulrich, Dietmar ;

Roos, Joachim ;

Jakse, Gerhard ;

Pallua, Norbert .

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (03) :352-356

[35]

Wall LL, 2004, AM J OBSTET GYNECOL, V190, P1011, DOI 10.1016/j.ajog.2004.02.007

[36] Gracilis muscle interposition for the treatment of rectourethral, rectovaginal, and pouch-vaginal fistulas - Results in 53 patients [J].

Wexner, Steven D. ;

Ruiz, Dan E. ;

Genua, Jill ;

Nogueras, Juan J. ;

Weiss, Eric G. ;

Zmora, Oded .

ANNALS OF SURGERY, 2008, 248 (01) :39-43

← 1 2 3 4 →