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

European Journal of Obstetrics, Gynecology, and Reproductive Biology
D SorianoP Poitout

Abstract

To evaluate the long-term outcome of the Musset technique of recto-vaginal fistula (RVF) repair. During the years 1992-1998, 48 women underwent recto-vaginal fistula repair. A retrospective study in a university tertiary referral center was conducted. The main etiologies were obstetrical trauma (25), local infection (11), inflammatory disease (7), and post surgery (3). Thirty women (63%) had a previous fistula repair failure. The mean+/-S.D. fistula diameter was 1.4+/-1.0, and in 40% of the patients the fistula diameter was >2.5cm. In 19 cases (39.6%) there was a complete opening of the perineum and anal sphincter. Gas and stool incontinence before the operation were noted in 85 and 75% of the patients, respectively. Successful anatomic results were achieved in all patients. Five patients were re-operated due to gas and stool incontinence, and all but one had satisfactory anatomic and functional satisfactory results. The success rates in women with Crohn's disease and with a previous RVF repair failure were 100 and 98%, respectively. No major intra or postoperative complications were noted. The Musset procedure provide excellent anatomic and functional results and women with Crohn's disease or previous RVF repair have comparabl...Continue Reading

References

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Citations

Aug 14, 2010·Diseases of the Colon and Rectum·Rodrigo A PintoSteven D Wexner
Jul 2, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Galal El-GazzazMassarat Zutshi
Aug 10, 2002·Journal of the American College of Surgeons·Jean-Martin Laberge
Jan 31, 2006·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Damian CasadesusAngelina Diaz
Mar 25, 2016·The Indian Journal of Surgery·Shailendra LalwaniSamiran Nundy
Jun 30, 2016·The Journal of Obstetrics and Gynaecology Research·Tsia-Shu LoMa Clarissa Uy-Patrimonio
Jan 21, 2017·Female Pelvic Medicine & Reconstructive Surgery·Jenifer N ByrnesJohn A Occhino
Nov 13, 2020·Female Pelvic Medicine & Reconstructive Surgery·Rubin RajuJohn A Occhino
Jan 18, 2021·Journal of Visceral Surgery·P ViannayA Venara

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