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Case Reports
. 2013;13 Suppl 2(Suppl 2):S7.
doi: 10.1186/1471-2482-13-S2-S7. Epub 2013 Oct 8.

Surgical mistake causing an high recto-vaginal fistula. A case report with combined surgical and endoscopic approach: therapeutic considerations

Michele Danzi, Fabozzi Massimiliano, Reggio Stefano, Pannullo Mario, Amato Bruno, Grimaldi Luciano
Case Reports

Surgical mistake causing an high recto-vaginal fistula. A case report with combined surgical and endoscopic approach: therapeutic considerations

Michele Danzi et al. BMC Surg. 2013.

Abstract

Background: Rectovaginal fistulas (RVFs) have multiple causes, size and location on which the surgical treatment depends.

Description: The Authors consider different approaches to RVFs and describe a clinical case of recurrent high RVF.

Conclusions: Most RVFs can be successfully repaired, although many interventions may be necessary. A colostomy with delayed repair may improve RVFs outcome. Moreover, several authors indicate Mucosal Advancement Flap and Babcock-Bacon technique as the treatments of choice respectively for low and high RVFs (complex and recurrent) and emphasize the placement of endoscopic prothesis in cases of difficult healing of the anastomosis.

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