TITLE:
Laparoscopic stapler repair of high rectovaginal fistula: A case report
AUTHORS:
Amit Kumar Parmar, Mittu John Mathew, Prasanna Kumar Reddy
KEYWORDS:
Laparoscopy; Rectovaginal Fistula; Stapler
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.3 No.1,
February
17,
2013
ABSTRACT: For thousands of years,
women simply tolerated the distressing symptoms generated by rectovaginal fistulas
(RVFs). This is no longer necessary because most RVFs can be surgically
corrected via a number of approaches. Most
rectovaginal fistulas are acquired; obstetric injury alone accounts for
nearly 88% of the cases. The high fistulas are repaired by abdominal approach,
while middle or low fistulas are best approached perineally. There are only few
case reports of laparoscopic RVF repair noted in literature till date.
Laparoscopic repair of RVF is challenging and requires advanced laparoscopic
skill. Laparoscopy is a better alternative in selected cases of RVF and yields
faster recovery and good patient compliance. We present a case of high RVF
managed laparoscopically by using stapler.