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Fistules recto-vaginales des deux tiers inférieurs du vagin

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Pelvi-périnéologie

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Résumé

Les fistules recto-vaginales d’origine obstétricale sont exceptionnelles en France et dans les pays à haut niveau sanitaire. Elles sont très fréquentes en Afrique (plusieurs millions) et entraînent non seulement des répercussions médicales mais aussi sociales du fait de l’isolement de ces patientes souvent jeunes et rejetées par le milieu familial. Le diagnostic est confirmé par l’examen clinique. Le bilan sphinctérien nécessite en revanche une évaluation associant échographie endo-anale et manométrie. Les étiologies sont parfois congénitales le plus souvent acquises: traumatiques, infectieuses, oncologiques, mais surtout obstétricales. Leur traitement est chirurgical.

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Références

  1. Arrowsmith S, Hamlin EC, Wall LL (1996) Obstructed labor injury complex: obstetric fistula formation and the multifaceted morbidity of maternal brith trauma in the developping world. Obstet Gynecol Surv 51(9): 568–74

    Article  CAS  PubMed  Google Scholar 

  2. Steiner AK (1996) The problem of post-partum fistulas in developing countries. ActaTrop 30; 62(4): 217–23

    CAS  Google Scholar 

  3. Yee LF, Birnbaum EH, Read TE et al. (1999) Use of endoanal ultrasound in patients with rectovaginal fistulas. Dis Colon Rectum 42(8): 1057–64

    Article  CAS  PubMed  Google Scholar 

  4. Stoker J, Rocius E, Schouten WR et al. (2002) Anovaginal and rectovaginal fistulas: endoluminal sonography versus endoluminal MR imaging. AJR Am J Roentgenol 178(3): 737–41

    PubMed  Google Scholar 

  5. Neil B, Rosenshein MD, Rene R et al. (1990) An anatomic classification of rectovaginal septal defects. Am J Obstet Gynecol 137: 439

    Google Scholar 

  6. David A, Rothenberger MD, Stanley M et al. (1983) The management of rectovaginal Fistulae. Surgical Clinics of North America. Vol 63, n° 1

    Google Scholar 

  7. Venkatesh KS, Ramanyan PS, Larson DM et al. (1989) Anorectal complications of vaginal delivery. Dis Colon Rectum 32: 1039–41

    CAS  PubMed  Google Scholar 

  8. Dh L. Thiry et al. (1998) Les aspects du traitement chirurgical de la maladie de Crohn. Médecine et chirurgie digestive 27(4): 137–41

    Google Scholar 

  9. Halverson AL, Hull TL, Fazio VW et al. (2004) Repair of recurrent rectovaginal fistulas. Surgery. 130(4): 753–7; discussion 757–8.

    Google Scholar 

  10. Scott NA, Nair A, Hughes LE (1992) Anovaginal and rectovaginal fistula in patients with Crohn’s diseas. Br J Surg 79: 1379–80

    CAS  PubMed  Google Scholar 

  11. Albert J, Jimenez, Beldarrain L (1980) Complications from irradiation of carcinoma of the uterine cervix. Acta radiol Oncol 19: 13

    Google Scholar 

  12. Robert D Fry, Ira J Kodner (1995) Rectovaginal fistula. Surg Annu 27: 113–31

    CAS  PubMed  Google Scholar 

  13. Saclarides TJ (2002) Rectovaginal fistula. Surg Clin-North Am 82(6): 1261–72

    PubMed  Google Scholar 

  14. Anne K, Wiskind, MD, John D et al. (1992) Transverse transperineal repair of rectovaginal fistulas in the lower vagina. Am J Obstet Gynecol 167: 694–9

    Google Scholar 

  15. Dargent D, Adam Th, Mathevet P (1995) Fistules recto-vaginales. Édition Techniques, Encycl Méd Chir (Paris-France), Techniques chirurgicales-Urologie-Gynécologie, 41-870, 9 p.

    Google Scholar 

  16. Musset R. Fistules recto-vaginales. Encycl Médico Chir Paris, Techniques chirurgicales Urologie-Gynécologie: 4.4.06.41870

    Google Scholar 

  17. Lemoine Laude (1997) Fistules rectovaginales des 2/3 inférieurs du vagin. Thèse de doctorat en médecine. Président de Thèse Pr P Poitout. Université Paris VI

    Google Scholar 

  18. Soriano D, Lemoine A, Laplace C et al. (2001) Results of recto-vaginal fistula repair: retrospectiv analysis of 48 cases. Eur J of Obstet and Gynecol and Reprod Biol 96: 75–9

    CAS  Google Scholar 

  19. Kodner IJ, Mazor A, Shemesh EI et al. (1993) Endorectal advancement flap repair of rectovaginal and other complicated anorectal fistulas. Surgery 114: 682–90

    CAS  PubMed  Google Scholar 

  20. Neil Hyman MD, Burlington, Vermont (1999) Endoanal advancement flap repair for complex anorectal fistulas Am J Surg 178: 337–40

    Google Scholar 

  21. Milito G, Pisani A, Venditti D et al. (1999) The endorectal repair of rectovaginal fistulae. Minerva Chir 54(3): 191–4

    CAS  PubMed  Google Scholar 

  22. Dionysios K, Veronikis MD, David H et al. (1998) The Noble-Mengert-Fish operation-revisited: A composite approach for persistent rectovaginal fistulas and complex perineal defects. Am J Obstet Gynecol 179: 1411–7

    Google Scholar 

  23. Rius J, Nessim A, Nogueras JJ et al. (2000) Gracilis transposition in complicated perianal fistula and unhealed perineal wounds inCrohn’s disease. Eur J Surg. 166(3): 218–22

    CAS  PubMed  Google Scholar 

  24. Transposition of the gracilis muscle — an option in the surgical treatment of rectovaginal fistulae. Chirurg 2000 71(1): 86–8

    Google Scholar 

  25. Onodera H, Nagayama S, Kohmoto I et al. (2003) Novel surgical repair with bilateral gluteus muscle patching for intractable rectovaginal fistula. Tech Coloproctol 7(3): 198–202

    Article  CAS  PubMed  Google Scholar 

  26. Abel ME, Chiu YS, Russell TR et al. (1993) Autologous fibrin glue in the treatment of rectovaginal and complex fistulas. Dis Colon Rectum 36(5): 447–9

    Article  CAS  PubMed  Google Scholar 

  27. Venkatesh KS, Ramanujam P (1999) Fibrin glue application in the treatment of recurrent anorectal fistulas. Dis Colon Rectum 42(9): 1136–9

    Article  CAS  PubMed  Google Scholar 

  28. Buchanan GN, Bartram CI, Phillips RK et al. (2003) Efficacy of fibrin sealant in the management of complex anal fistula: a prospective trial. Dis Colon Rectum 46(9): 1167–74

    Article  PubMed  Google Scholar 

  29. Wise WE Jr, Aguilar PS, Padmanabhan A et al. (1991) Surgical treatment of low rectovaginal fistulas. Dis Colon Rectum 34(3): 271–4

    Article  PubMed  Google Scholar 

  30. Tsang CBS, Madoff RD, Wong WD et al. (1998) Anal sphincter integrity and function influences outcome inrectovaginal fistula repair. Dis Colon Rectum 41: 1141–6

    Article  CAS  PubMed  Google Scholar 

  31. Sultan AH, Kamm MA, Hudson CN et al. (1993) Anal Sphincter disruption during vaginal delivery. N Engl J Med 329: 1905–11

    Article  CAS  PubMed  Google Scholar 

  32. Belt RL, Belt RL Jr (1969) Repair of anorectal vaginal fistula utilizing segmental advancement of the internal sphincter muscle. Dis Colon Rectum 12: 99–104

    PubMed  Google Scholar 

  33. Frileux P, Berger A, Zinzindohoue F et al. (1994) Fistules recto-vaginales de l’adulte. Ann Chir 48(5):412–20

    CAS  PubMed  Google Scholar 

  34. Sher ME, Bauer JJ, Gelernt I (1991) Surgical repair of rectovaginal fistulas in patients with Crohn’s disease: transvaginal approach. Dis Colon Rectum. 34(8): 641–8.

    Article  CAS  PubMed  Google Scholar 

  35. Sonoda T, Hull T, Piedmonte MR et al. (2002) Outcomes of primary repair of anorectal and rectovaginal fistulas using the endorectal advancement flap. Dis Colon Rectum 45(12): 1622–8

    Article  PubMed  Google Scholar 

  36. Senatore PJ Jr (1994) Anovaginal fistulae. Surg Clin-North Am 74(6):1361–75

    PubMed  Google Scholar 

  37. Aartsen EJ, Sindram IS (1998) Repair of the radiation induced rectovaginal fistulas without or with interposition of the bulbocavernosus muscle (Martius procedure) Eur J Surg Oncol 14(2): 171–7

    Google Scholar 

  38. MacRae HM, McLeod RS, Cohen Z et al. (1995) Treatment of rectovaginal fistulas that has failed previous repair attempts. Dis Colon Rectum 38(9): 921–5.

    Article  CAS  PubMed  Google Scholar 

  39. Mazier WP, Senagore AJ, Schiesel EC (1995) Operative repair of anovaginal and rectovaginal fistulas. Dis Colon Rectum 38(1):4-

    Article  CAS  PubMed  Google Scholar 

  40. Tsang CB, Rothenberger DA (1997) Rectovaginal fistulas. Therapeutic options. Surg Clin North Am 77(1): 95–114.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Service de gynécologie obstétrique, Hôpital Beaujon, 100, boulevard du Général Leclerc, 92110, Clichy Cedex

    Ph. Guillermin & B. Deval

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  1. Ph. Guillermin
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  2. B. Deval
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© 2005 Springer-Verlag France

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Guillermin, P., Deval, B. (2005). Fistules recto-vaginales des deux tiers inférieurs du vagin. In: Pelvi-périnéologie. Springer, Paris. https://doi.org/10.1007/2-287-27807-9_29

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  • DOI: https://doi.org/10.1007/2-287-27807-9_29

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-00501-5

  • Online ISBN: 978-2-287-27807-5

  • eBook Packages: MedicineMedicine (R0)

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