This protocol addresses anorectal fistula presenting as a rectovaginal fistula that develops as a complication of colorectal anastomosis — a scenario with distinct clinical requirements and a structured management pathway.
Rectovaginal fistulas that result from colorectal anastomotic complications often require a transabdominal approach for repair.
Initial management typically involves fecal diversion to facilitate resolution of acute inflammation. In carefully selected presentations, surgical reoperation may also be considered. The complete protocol — including patient selection criteria, procedural sequencing, and decision points — is available via the link below.
DOI: 10.1097/DCR.0000000000002473
Rectovaginal fistulas that result from colorectal anastomotic complications often require a transabdominal approach for repair.
Under these circumstances, fecal diversion is generally recommended as the initial step to facilitate resolution of the acute inflammation and associated symptoms; however, in selected cases with an immediate or early postoperative RVF, reoperation and repeat colorectal anastomosis may be preferable.
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