Results of recto-vaginal fistula repair: retrospective analysis of 48 cases

Are There Predictors of Outcome Following Rectovaginal Fistula Repair?

“…[1][2][3][4][5][6][7] Inflammatory bowel disease, including mucosal ulcerative colitis and Crohn's disease, is another contributing cause of RVF with rates varying between 6% and 23%, 16 -18 although Crohn's disease is more commonly associated with RVF formation because of its transmural involvement of the bowel wall. This finding is supported by a study from Radcliffe et al 18 which identified 90 (9.8%) of 886 female patients with Crohn's disease involvement of the rectovaginal septum.…”

“…Our series did not demonstrate an obvious benefit with diverting stomas which correlates with prior studies. 5,16,23,37 Nonetheless, this may be secondary to stoma creations being performed only in patients with complex fistulas whose anticipated surgical repair would likely involve extensive dissection and, therefore, involve more difficulty with postoperative healing.…”

“…The most common acquired etiology is obstetric injury followed by inflammatory bowel disease and then infectious causes. [1][2][3][4][5][6][7] The diagnosis of a RVF is based on history and physical examination. However, in recurrent or refractory cases, further evaluation with endoanal ultrasound or pelvic magnetic resonance imaging may be required to better elucidate the anatomy.…”

“…The minimal contribution from the medical literature consists mostly of case reports and case series; the surgeon's best operative approach continues to be a challenging decision. [1][2][3][4][5][6][7] The aim of this study is to assess the results of RVF repair over a 20-year period, as performed by urogynecologists and colorectal surgeons, and to identify the factors associated with poor outcome.…”

S3-Leitlinie: Rektovaginale Fisteln (ohne M. Crohn)

“…Vergleichende Studien mit anderen Verfahren, die diese sehr positiven Ergebnisse bestä-tigen, liegen nicht vor. [46,52,70,165,181,216,231], eine prospektive [18] und 9 retrospektive Studien [19,75,105,126,127,272,281,286,305]. Einen CrohnAnteil von mehr als 20% weisen 5 Studien auf [18,19,105,126,305].…”