الناسور الشرجي المستقيمي في الناسور المستقيمي المهبلي المعقد المتكرر أو الناسور المرتبط بالإشعاع الحوضي

DOI: 10.1097/DCR.0000000000002473

Completion proctectomy with or without colonic pull-through or coloanal anastomosis may be required to treat radiation-related or recurrent complex rectovaginal fistula.

Recurrent, complex RVFs and fistulas that develop in the setting of pelvic radiation may be amenable to repair with a muscle flap interposition as described previously or proctectomy with primary or staged coloanal anastomosis.

In the setting of proctectomy, a primary or staged (ie, Turnbull-Cutait procedure) coloanal anastomosis may be used to restore continuity of the bowel.