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Mudrov A.A.

Ryzhikh National Medical Research Centre for Coloproctology;
Russian Medical Academy of Postgraduate Education

Omarova M.M.

Russian Medical Academy of Postgraduate Education

Fomenko O.Yu.

National Medical Research Centre for Coloproctology named after A.N Ryzhikh

Blagodarnyi L.A.

Russian Medical Academy of Postgraduate Education

Kostarev I.V.

Ryzhikh National Medical Research Centre for Coloproctology;
Russian Medical Academy of Postgraduate Education

Sokolova Yu.A.

Ryzhikh National Medical Research Centre for Coloproctology

Serebriy A.B.

Ryzhikh National Medical Research Centre for Coloproctology

Nagudov M.A.

Ryzhikh National Medical Research Centre for Coloproctology

Titov A.Yu.

Ryzhikh National Medical Research Centre for Coloproctology

Surgical treatment of rectovaginal fistula with vaginal rectangular flap

Authors:

Mudrov A.A., Omarova M.M., Fomenko O.Yu., Blagodarnyi L.A., Kostarev I.V., Sokolova Yu.A., Serebriy A.B., Nagudov M.A., Titov A.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(7): 5‑11

DOI: 10.17116/hirurgia20210715

Views: 2781

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Table of contents

SURGICAL TREATMENT OF RECTOVAGINAL FISTULA WITH VAGINAL RECTANGULAR FLAP
SURGICAL TREATMENT OF RECTOVAGINAL FISTULA WITH VAGINAL RECTANGULAR FLAP

To cite this article:

Mudrov AA, Omarova MM, Fomenko OYu, et al. . Surgical treatment of rectovaginal fistula with vaginal rectangular flap. Pirogov Russian Journal of Surgery. 2021;(7):5‑11. (In Russ.)
https://doi.org/10.17116/hirurgia20210715

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To evaluate the early and long-term outcomes of rectovaginal fistula closure with vaginal rectangular flap.

MATERIAL AND METHODS

There were 61 patients with rectovaginal fistula for the period 2012—2020. Median age of patients was 35 years [31; 48]. Postpartum fictula was observed in 27 (44.2%) cases, postoperative — 10 (16.4%) patients, inflammatory — 15 (24.6%) patients, other causes — 9 (14.8%) patients. Disease recurrence occurred in 29 (47.5%) patients.

RESULTS

Median follow-up period was 36.2 [6; 64] months. Postoperative recurrence of rectovaginal fistula occurred in 19 (31.1%) patients. Length of hospital-stay ranged from 3 to 36 days (median 14 [12; 16]). We analyzed the relationship between the risk of disease recurrence and various factors, including etiology of rectovaginal fistula, localization and diameter of the fistula, intraoperative cautery, previous surgeries and preventive colostomy.

CONCLUSION

Vaginal rectangular flap is effective for rectovaginal fistula. Multivariate analysis confirmed two significant risk factors of postoperative recurrence: diameter of fistula over 5 mm and its localization in the rectum above the upper border of surgical anal canal (more than 7 mm from the dentate line).

Keywords:

rectovaginal fistula
flap
rectal flap
vaginal flap

Authors:

Mudrov A.A.

Ryzhikh National Medical Research Centre for Coloproctology;
Russian Medical Academy of Postgraduate Education

Omarova M.M.

Russian Medical Academy of Postgraduate Education

Fomenko O.Yu.

National Medical Research Centre for Coloproctology named after A.N Ryzhikh

Blagodarnyi L.A.

Russian Medical Academy of Postgraduate Education

Kostarev I.V.

Ryzhikh National Medical Research Centre for Coloproctology;
Russian Medical Academy of Postgraduate Education

Sokolova Yu.A.

Ryzhikh National Medical Research Centre for Coloproctology

Serebriy A.B.

Ryzhikh National Medical Research Centre for Coloproctology

Nagudov M.A.

Ryzhikh National Medical Research Centre for Coloproctology

Titov A.Yu.

Ryzhikh National Medical Research Centre for Coloproctology

Received:

16.02.2021

Accepted:

10.03.2021

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