DOI: https://doi.org/10.22263/2312-4156.2022.3.64
V.L. Denisenko
The experience of treating distal rectovaginal fistulas of large size
Vitebsk Regional Clinical Specialized Center, Vitebsk, Republic of Belarus
Vestnik VGMU. 2022;21(3):64-68.
Abstract.
The incidence of rectovaginal fistula is 1 case per 100,000 population per year. Due to the polyetiology of this pathology, the number of patients with rectovaginal fistulas is much larger. The most common methods of treatment are: dissection or excision of the fistula into the intestinal lumen, sphincteroplasty (excision of the fistula), segmental proctoplasty (excision of the fistula with the replacement of the muco-submucosal, muco-muscular or full-thickness flap of the rectum into the anus). The effectiveness of these operations averages about 50-70%, which leaves the question of finding a solution to this pathology open. In ME “VOKSTS” a method of treating low rectovaginal fistulas was used by means of bringing down a full-fledged muco-muscular flap. 7 patients aged from 30 to 54 years (mean age 38.8±7.9 years) were operated on with a diagnosis of rectovaginal fistula. The size of the fistula was up to 0.8-1.1 cm in diameter. Complications and relapses in the study group of patients were not observed.
Keywords: rectovaginal fistula, rectal fistula, perineal fistula, fistula, rectovaginal septal defect.
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Information about authors:
V.L. Denisenko – Doctor of Medical Sciences, associate professor, chief physician of the Vitebsk Regional Clinical Specialized Center,
E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Valery L. Denisenko.
