Walfisch A, Zilberstein T, Walfisch S
Colorectal Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P. O. Box 151, Beer-Sheva, Israel.
Tech Coloproctol. 2004 Nov;8(3):192-4. doi: 10.1007/s10151-004-0088-y.
Rectovaginal fistula are a relatively rare kind of anorectal fistulas. Spontaneous healing is rare and the rectal advancement flap repair is the most popular procedure with success rates ranging between 60% and 80%. We present a new technique for repairing damage in the rectovaginal septum that consists of placing a folded polyglycolic acid mesh (Dexon) between the levator ani muscle closure area and the vaginal wall. This absorbable mesh separates the suture lines on the vaginal and rectal walls, and induces fibrosis and healing. The technique was performed in four women suffering from a rectovaginal fistula due to different causes. It was successful in all cases.
直肠阴道瘘是一种相对罕见的肛肠瘘。自行愈合罕见，直肠推进皮瓣修复是最常用的手术方法，成功率在60%至80%之间。我们提出一种修复直肠阴道隔损伤的新技术，该技术包括在肛提肌闭合区域和阴道壁之间放置一块折叠的聚乙醇酸网片（德克松）。这种可吸收网片可分隔阴道壁和直肠壁上的缝线，并诱导纤维化和愈合。该技术应用于4例因不同原因患有直肠阴道瘘的女性患者。所有病例均获成功。
