Rectovaginal Fistula Repair. Rectovaginal fistulae must be divided into two groups. . The bulbocavernosus flap used to cover the rectovaginal fistula suture line improves vascularity and gives an additional layer to the closure, thus improving the chances of permanent fistula repair. Points of Caution. The margins of .

Use local care, drainage of abscesses, and directed antibiotic therapy to treat acute rectovaginal fistulas (RVFs) of traumatic origin (including those caused by obstetric [2, 3] and operative trauma), RVFs complicated by secondary infection, and fistulas of infectious origin. Allow tissues to heal

Rectovaginal fistula are often the result of trauma during childbirth (in which case it is known as obstetric fistula) where improper medical interventions are used, . while an abdominal repair would be necessary for a high fistula at the posterior fornix. A circular incision is made around the fistula and vagina is separated from the underlying rectum with a sharp circumferential dissection. The entire fistulous tract, along with a small rim of rectal mucosa is incised.

Treatments and drugs By Mayo Clinic Staff. Symptoms of a rectovaginal fistula can be distressing, . Most people need surgery to close or repair a rectovaginal fistula. Before an operation can be done, the skin and other tissue around the fistula must be healthy, . et al. Rectovaginal fistulas. Clinics in Colon and Rectal Surgery. 2010;23:99. Champagne BJ, et al. Rectovaginal fistula.

Recto-vaginal Fistula Repair - 5 - have nausea and vomiting have chest pain or difficulty breathing leak fluid or blood from the incision or if the incision opens develop swelling, redness, or pain in your legs develop a rash have pain with urination Caring for your incision: Your incision will be closed with dissolvable stitches (they do not need to be removed .

What is a vaginal fistula? A fistula is a passage or hole that has formed between: Two organs in your body. An organ in your body and your skin.

For thousands of years, women simply tolerated the distressing symptoms generated by rectovaginal fistulas (RVFs). Such tolerance is no longer necessary, because most RVFs can be surgically corrected via a number of approaches. Close. New. . The transverse perineal muscle traverses the perineal body and is often used in anal sphincteroplasty and rectovaginal fistula repair.

Browning A, et al. Characteristics, management, and outcomes of repair of rectovaginal fistula among 1100 consecutive cases of genital tract fistula in Ethiopia. International Journal of Gynecology & Obstetrics. Accessed Aug. 23, 2015. Schwartz DA, et al. The role of imaging tests in the evaluation of anal abscesses and fistulas. http://www.uptodate.com/home.

CLASSIFICATION. The majority of classification schemes use size, location, and etiology as the criteria to classify rectovaginal fistulas as simple or complex.