New technique in the literature for recto-vaginal fistula: Gebrel-Mostafa technique

Abstract

Aim. In this study, we present a new method for treating cases of rectovaginal fistula that will be added to the medical literature. In this study, we examine two patients with low vaginal fistula from their initial clinic visit until the end of their follow-up period. Methods and materials. Two patients who had undergone a normal vaginal delivery one year prior presented to our clinic with complaints of offensive vaginal discharge and distressing symptoms, including stool leakage and vaginal flatulence. They consented to experience this new technique for the treatment of their low vaginal fistula. Results. Gebrel-Mostafa technique has numerous beneficial effects, including the elimination of the need for a second operation to remove the plastic Avis, which functions as a seton. In addition, it is characterized by a short duration of operation, the inability to form an abscess or hematoma, and a rapid return to normal life. Avis plastic acts as an auto-tightening and auto-cutting material, and the patient or doctor can tighten it. Finally, it is less expensive, and there is no requirement to use the labial Martius flap. Conclusion. This (Gebrel-Mostafa) technique yields positive outcomes with no significant morbidity and is feasible to perform. The absence of incontinence, abscess formation, and sepsis in the wound may be attributable to the wide range of antibiotics administered to the patients.

Keywords

• rectovaginal fistula
• gebrel-mostafa technique
• incontinence
• fistula tract
• perianal fistula