THE VALUE OF AN INDIVIDUAL APPROACH IN THE CHOICE OF TREATMENT TACTICS OF RECTOVAGINAL FISTULA

Abstract

Purpose: to improve the results of treatment in patients with recto-vaginal fistulas by individual justification of selection the method and formation of differential diagnostic and treatment algorithm. Materials and methods: results of surgical treatment 15 patients with rectovaginal fistulas have been evaluated. Applied two categories of surgical procedures: 8 patients underwent excision of the fistula, followed by stratified suturing wound tight without of components sfinkterolevatoroplasty. 7 patients supplemented operation performing segmental proctoplasty, plastic vaginal wall mobilized mucous and submucosal graft after anterior sfinkterolevatoroplasty. Results: two cases of recurrence were registered in the first group occurring. In the second group was not registered any recurrences. Summary: the use of radical excision techniques of rectovaginal fistula, supplemented anterior sfinkterolevatoroplasty is the most promising way to significantly reduce the number of postoperative complications and recurrence of the disease by restoring the layered structure of the rectovaginal septum.

Keywords

• rectovaginal fistula
• rectovaginal septum
• recurrence
• anterior sfinkterolevatoroplasty