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Transvaginal primary repair of a suprasphincteric rectovaginal fistula

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Abstract

Introduction and hypothesis

Rectovaginal fistula repair is one of the most challenging gynecological surgical procedures. This video is intended to serve as a tutorial for surgical repair.

Methods

An 80-year-old woman who developed a traumatic suprasphincteric rectovaginal fistula was managed through layered transvaginal repair without flaps.

Results

Anatomy restoration was completed without complications.

Conclusion

The procedure described in this video was effective and safe. Vaginal route should be considered as a valid surgical approach for rectovaginal fistula repair.

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Author information

Authors and Affiliations

  1. University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy

    Rodolfo Milani, Matteo Frigerio, Alice Cola, Martina Sicuri & Federico Spelzini

  2. San Gerardo Hospital, Via Pergolesi 33, 20900, Monza, MB, Italy

    Stefano Manodoro

Authors
  1. Rodolfo Milani
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  2. Matteo Frigerio
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  3. Stefano Manodoro
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  4. Alice Cola
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  5. Martina Sicuri
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  6. Federico Spelzini
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Corresponding author

Correspondence to Stefano Manodoro.

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None.

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Milani, R., Frigerio, M., Manodoro, S. et al. Transvaginal primary repair of a suprasphincteric rectovaginal fistula. Int Urogynecol J 27, 821–823 (2016). https://doi.org/10.1007/s00192-015-2923-2

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  • DOI: https://doi.org/10.1007/s00192-015-2923-2

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