Case report: Treatment of rectovaginal fistula with Bioglue(®).

International Journal of Surgery Case Reports
Steven Garcia, Sharmila Dissanaike

Abstract

Rectovaginal fistulas have a multitude of causes and it is well known that obstetric and gynecological problems form a large part of these causes such as our case. We present a 45-year-old female that presented with complaints of stool per vagina and was found to have a rectal vaginal fistula near the vaginal cuff from her previous uncomplicated vaginal hysterectomy. The patient was originally scheduled for a complex open abdominal surgery based on examination but underwent a sigmoidoscopy with vaginal examination and identified a small opening with minimal inflammation. The patient was treated with Bioglue(®) and had complete resolution of the fistula at follow-up. There are numerous cases presented in the literature on the use of bioglue for anal fistulas and rectovaginal fistulas with multiple cases of success. However, in looking at the literature failure appears to be due to ongoing inflammation from the previous disease process. Although the use of Bioglue(®) may not be suitable for all patients with rectovaginal fistulas, it offers yet another treatment modality for select patients.

References

May 1, 1993·Diseases of the Colon and Rectum·M E AbelP A Volpe
Oct 17, 2001·Surgery·A L HalversonC Floruta
Dec 14, 2006·Diseases of the Colon and Rectum·Fernando de la PortillaEduardo Espinosa
Jul 22, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D K ThekkinkattilP J Finan
Jan 30, 2010·The Surgical Clinics of North America·Bradley J Champagne, Michael F McGee
Jul 16, 2010·Diseases of the Colon and Rectum·Fernando de la PortillaJosé M Sánchez-Gil
Jun 2, 2011·Clinics in Colon and Rectal Surgery·Teresa H Debeche-Adams, Jaime L Bohl

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Citations

May 8, 2015·Anaesthesia·UNKNOWN Members of the Working PartyUNKNOWN Ireland Society for Obesity and Bariatric Anaesthesia

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