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At least 19 recordsLinked to original sources
PubMed1978

Repair of rectovaginal fistulas.

Twenty patients with rectovaginal fistulas involving the middle portion of the rectovaginal septum were repaired without failure. The transanal approach would appear to be superior since it allows better access to the rectum which is the high pressure side of this fistula. This technique gives excellent results in benign rectovaginal fistulas occurring within 6 centimeters of the dentate line. The transanal approach also allows for the correction of any concomitant anorectal pathology which might compromise the repair. It is not to be used in instances of inflammatory disease or postradiation carcinoma.

Female↗
PubMed1979

Repair of postirradiation rectovaginal fistula and stricture.

Postirradiation rectovaginal fistulas are notoriously difficult to repair, as are the strictures that are usually associated with them. Previous attempts have involved resection and low anastomosis by various techniques. Patients considered not suitable for resection have been treated by permanent fecal diversion. A technique of repair not previously reported has been described. It relies on the proximal part of the colon as a vascular pedicle graft, used as a patch to close the rectal defect and to provide circumference to relieve any associated stricture. Five patients are reported in whom complicated fistulas and strictures have been corrected with restoration of normal rectal function.

Aged↗
PubMed1978

Surgical management of rectovaginal fistulas and complete perineal tears.

Twenty-four patients with traumatic rectovaginal fistulas and 27 patients with complete perineal tears underwent secondary operative repair. Primary healing occurred in 50 cases and partial healing in the 51st case. Six patients had previously undergone one to three unsuccessful repairs. The advisability of early repair and the benefits of prophylactic antibiotics and of use of a Martius graft for operative failures are discussed.

Episiotomy↗
PubMed1978

A method of treating post-irradiation rectovaginal fistulas.

A sphincter-saving operative method of treating post-irradiation rectovaginal fistulas is presented. The technique involves the peranal anastomosis of healthy colon to the mid-anal canal using a 'sleeve' anastomosis. Four patients have been treated with cure of the fistula and a return to normal bowel habit. A fifth, with an irradiation ulcer causing intractable pain, also obtained complete relief of symptoms.

Aged↗
PubMed1976

[Closure of a large radiogenous vesico-rectovaginal fistula with rehabilitation of the continence].

Successful treatment of a large vesico-rectovaginal fistula following irradiation of a 53 years old woman. The healing was attained by four steps: 1. Derivation of urine by bilateral nephrostomy. 2. Derivation of faeces by preter-natural anus. 3. Abdomino-vaginal closure of the fistula by Bastiaanse's method. 4. Reposition of the sigmoid. Complete restoration of natural conditons.

Carcinoma, Squamous Cell↗
PubMed1977

Low rectovaginal fistulas. Approach and treatment.

Experience with thirty-two patients with a low rectovaginal fistula with or without attendant sphincter damage is reported. The technic used is advancement of the anterior rectal wall with excision of the infected anal glandular tissue and repair of muscle tissue when indicated. Anorectal infection and childbirth injuries were the common causes. An acceptable recurrence rate was achieved. Colostomy was not used in this series.

Adult↗
PubMedDate not supplied

Rectovaginal fistula: management by intravenous feeding and surgical repair.

Two patients, each with a large rectovaginal fistula, were managed successfully by intravenous feeding and surgical repair of their fistulae. Intravenous feeding eliminated the need for food from the gastrointestinal tract, thus minimizing the fecal flow. Both fistulae healed following surgical repair. Neither patient required a diverting colostomy.

Adolescent↗
PubMed1979

Hindgut duplication with rectovaginal fistula.

Complete colon duplication is an extremely rare congenital anomaly that occasionally presents diagnostic problems. This report presents a 23-year-old black woman with complete duplication of the colon and distal ileum, with termination of 1 colon into the vagina.

Adult↗
PubMed1979

Operative management of radiation injuries of the intestinal tract.

A review of forty cases of radiation-induced gastrointestinal injuries is presented. Based on this experience and reports in the literature, preoperative management and operative technics are discussed. The increased risk of radiation bowel injury is recognized in patients who have had previous operations. Preradiation contrast studies are advised to identify trapped loops of intestine in the pelvis. Small bowel resection is recommended with localized segments of disease. Bypass operations are preferable to avoid any extensive dissections. Bypass operations have anastomotic dehiscence rates similar to those of resections. Proctocolitis is usually managed by diverting colostomy, with resection in a few favorable cases or with treatment failures. Most rectovaginal fistulas are managed by permanent colostomy. Small bowel fistulas are best treated by bypass with partial or total exclusion rather than by primary resection. Vigorous preoperative and postoperative nutritional support and evaluation are vital because of the poor healing qualities of irradiated bowel. Multiple operative procedures should be anticipated because the natural history of radiation bowel injury is slowly progressive.

Aged↗