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Rectovaginal Fistula

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Practices of Anorectal Surgery

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Abstract

The most common cause of rectovaginal fistula is birth injury although anorectal surgeries performed in women can cause rectovaginal fistula. In the case of fistula not identified by physical examination, contrast medium should be used to check for fistula tract in the high rectovaginal fistula. Successful treatment of rectovaginal fistula depends greatly on the cause, especially when developed from Crohn’s disease or radiation injury, the prognosis is poor. To increase success rate, surgical method should be selected depending on the RVF location, cause, degree of infection on the surrounding tissue, history of treatment, and sphincter function. Transanal, transvaginal, and transperineal approaches are main surgical options for rectovaginal fistula.

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Authors and Affiliations

  1. Colorectal Division, Department of Surgery, Hansol Hospital, Seoul, South Korea

    Jeong Eun Lee

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  1. Hansol Hospital, Seoul, Korea (Republic of)

    Dong Keun Lee

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Lee, J.E. (2019). Rectovaginal Fistula. In: Lee, D. (eds) Practices of Anorectal Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-1447-6_10

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  • DOI: https://doi.org/10.1007/978-981-13-1447-6_10

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  • Online ISBN: 978-981-13-1447-6

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