MODERN APPROACH TO THE CHOICE OF SURGICAL TREATMENT OF RECTOVAGINAL FISTULAS
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Abstract
The incidence of rectovaginal fistulas is 1 case per 100,000 population per year. Owing to the polyetiological nature of this pathology, the number of female patients with rectovaginal fistulas is much greater. The most widespread methods of treatment are: dissection or excision of the fistula into the intestinal lumen, sphincteroplasty (excision of the fistula), and segmental proctoplasty (excision of the fistula with the displacement of a mucosal-submucosal, mucosal-muscular or full-thickness flap of the rectum into the anal canal). The effectiveness of these operations averages about 50-70%, which leaves the question of finding a solution to this pathology open. In the multidisciplinary clinic of SamSMU, a method of treating low rectovaginal fistulas by bringing down a full-fledged mucosal-muscular flap was used. Seven female patients aged from 30 to 54 years (mean age 38.8±7.9 years) with a diagnosis of rectovaginal fistula were operated on. The size of the fistula was up to 0.8-1.1 cm in diameter. No complications or recurrences were observed in the studied group of patients.
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