Rectal vaginal advancement flap

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Rectovaginal fistula RVF sometimes has a difficulty in treatment. This report describes two patients who suffered from RVF. She underwent endorectal advancement flap ERAF.

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Rectovaginal fistulas RVF are the cause of major affliction to the affected patient and are a foremost challenge for the attending surgeon. Traditional techniques for treatment of RVF are quite extensive and particularly invasive. A more local procedure, with an acceptable success rate, would be the ideal first approach in treatment of this particular ailment.

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Although rectovaginal fistulas RVFs are not life threatening disorders, they are amongst the most challenging diseases for surgeons. Patients with RVFs typically complain of passing flatus or feces from the vagina. These symptoms may cause both physical discomfort and psychological distress. The most common cause of RVFs is obstetric trauma 1.

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The management of anal fistulas in patients with IBD continues to be extremely challenging and, indeed, somewhat frustrating. Closure of a RVF in Crohn's disease should not be considered an easy undertaking, especially in patients with several Crohn localisations. The technique can be adapted to the local situation.

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Demeaning patient behavior takes emotional toll on physicians. Weiss, M. Weiss, director of surgical endoscopy and a staff colorectal surgeon at Cleveland Clinic Florida, Weston.

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Background and Objective: Recto-vaginal fistula RVF is the most distressing surgical condition that a woman can experience. Other causes include radiation, malignancy, iatrogenic injury and infection. The surgical treatment is the standard of care in most females who had persistent fistula with symptoms.

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Transanal rectal advancement flap TRAF is a surgical option in the management of rectovaginal and other complicated fistulas involving the anorectum. Most reported series have a short follow-up. One hundred one patients were identified 70 percent female; 30 percent male. Included were 52 patients with rectovaginal, 46 with anal perineal, and 3 with rectourethral fistulas.

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Metrics details. Rectovaginal fistulas RVFs have multiple causes, size and location on which the surgical treatment depends. Most RVFs can be successfully repaired, although many interventions may be necessary. A colostomy with delayed repair may improve RVFs outcome.


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