Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy
Aim. To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. Materials and Methods. This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistu...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2018/5298214 |
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| author | Kemal Beksac Atakan Tanacan Nejat Ozgul Mehmet Sinan Beksac |
| author_facet | Kemal Beksac Atakan Tanacan Nejat Ozgul Mehmet Sinan Beksac |
| author_sort | Kemal Beksac |
| collection | DOAJ |
| description | Aim. To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. Materials and Methods. This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. Results. All of the simple rectovaginal fistula cases healed after the operation. Five of the group 2 patients healed after the operation. However, 1 patient with Crohn’s disease needed to undergo reoperation, but successfully healed after 6 months. On the contrary, 3 patients in group 3 healed (60%) whereas 2 of them failed to heal. Clinical characteristics of the patients were different between the groups (before and after the year 2000). Conclusion. The choice of operation must be done according to the patient’s underlying pathology. Proper management of associated inflammatory diseases and systemic disorders is recommended for necessary complex cases. |
| format | Article |
| id | doaj-art-0599ff9393424406ba421cb9288d2152 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-0599ff9393424406ba421cb9288d21522025-02-03T06:42:07ZengWileyObstetrics and Gynecology International1687-95891687-95972018-01-01201810.1155/2018/52982145298214Treatment of Rectovaginal Fistula Using Sphincteroplasty and FistulectomyKemal Beksac0Atakan Tanacan1Nejat Ozgul2Mehmet Sinan Beksac3Department of General Surgery, Ankara Oncology Hospital, Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University, Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University, Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University, Ankara, TurkeyAim. To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. Materials and Methods. This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. Results. All of the simple rectovaginal fistula cases healed after the operation. Five of the group 2 patients healed after the operation. However, 1 patient with Crohn’s disease needed to undergo reoperation, but successfully healed after 6 months. On the contrary, 3 patients in group 3 healed (60%) whereas 2 of them failed to heal. Clinical characteristics of the patients were different between the groups (before and after the year 2000). Conclusion. The choice of operation must be done according to the patient’s underlying pathology. Proper management of associated inflammatory diseases and systemic disorders is recommended for necessary complex cases.http://dx.doi.org/10.1155/2018/5298214 |
| spellingShingle | Kemal Beksac Atakan Tanacan Nejat Ozgul Mehmet Sinan Beksac Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy Obstetrics and Gynecology International |
| title | Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy |
| title_full | Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy |
| title_fullStr | Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy |
| title_full_unstemmed | Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy |
| title_short | Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy |
| title_sort | treatment of rectovaginal fistula using sphincteroplasty and fistulectomy |
| url | http://dx.doi.org/10.1155/2018/5298214 |
| work_keys_str_mv | AT kemalbeksac treatmentofrectovaginalfistulausingsphincteroplastyandfistulectomy AT atakantanacan treatmentofrectovaginalfistulausingsphincteroplastyandfistulectomy AT nejatozgul treatmentofrectovaginalfistulausingsphincteroplastyandfistulectomy AT mehmetsinanbeksac treatmentofrectovaginalfistulausingsphincteroplastyandfistulectomy |