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Clin Colon Rectal Surg 2010; 23(2): 099-103
DOI: 10.1055/s-0030-1254296
© Thieme Medical Publishers

Rectovaginal Fistulas

Teresa H. deBeche-Adams1 , Jaime L. Bohl2
  • 1Department of General Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana
  • 2Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana
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Publication History

Publication Date:
28 May 2010 (online)

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ABSTRACT

Rectovaginal fistulas are abnormal epithelial-lined connections between the rectum and vagina. They can be quite bothersome to both the patient and the surgeon due to their irritating and embarrassing symptoms and high failure rate after repair. An individualized, systematic approach to these fistulas based on their size, location, and etiology provides a more concise treatment plan. Treatment options of medical therapy, advancement flaps, plugs, fistula ligation, and tissue interposition are discussed.

KEYWORDS

Rectovaginal fistula - advancement flap - fistulotomy

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Jaime L BohlM.D. 

Department of Colon and Rectal Surgery, Ochsner Clinic Foundation

1514 Jefferson Hwy., New Orleans, LA 70121

Email: jbohl@ochsner.org