Treatment of Anorectal Fistula in Rectovaginal Fistula Resulting from Colorectal Anastomotic Complications
This protocol addresses anorectal fistula presenting specifically as a rectovaginal fistula that has arisen as a consequence of colorectal anastomotic complications — a distinct and surgically challenging clinical scenario.
Clinical Situation
Rectovaginal fistulas that result from colorectal anastomotic complications often require a transabdominal approach for repair. The origin of the fistula in prior anastomotic failure shapes both the repair strategy and its complexity.
Treatment Approach
Surgical repair options for persistent rectovaginal fistula in this setting include flap-based reconstructive techniques, among other operative approaches — the full selection and sequencing of interventions is detailed in the complete protocol.
Full regimen, technique selection, and decision algorithm available via the link below.
References
DOI: 10.1097/DCR.0000000000002473
Rectovaginal fistulas that result from colorectal anastomotic complications often require a transabdominal approach for repair.
In this retrospective series, patients with persistent fistulas were treated with repeat colorectal anastomosis, endorectal advancement flap, or a transperineal interposition flap.
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