Kumaran Saravanan S, Palanivelu Chinnusamy, Kavalakat Alfie J, Parthasarathi Ramakrishnan, Neelayathatchi Murugayyan
Department of Gastrointestinal Surgery, Gem Hospital, Coimbatore, India.
BMC Surg. 2005 Oct 12;5:20. doi: 10.1186/1471-2482-5-20.
Rectovaginal fistula (RVF) is an epithelium-lined communication between the rectum and vagina. Most RVFs are acquired, the most common cause being obstetric trauma. Most of the high RVFs are repaired by conventional open surgery. Laparoscopic repair of RVF is rare and so far only one report is available in the literature.
We present a case of high RVF repaired by laparoscopy. 56-year-old female who had a high RVF following laparoscopic assisted vaginal hysterectomy was successfully operated laparoscopically. Here we describe the operative technique and briefly review the literature.
The postoperative period of the patient was uneventful and after a follow up of 6 months no recurrence was found.
Laparoscopic repair of high RVF is feasible in selected patients but would require proper identification of tissue planes and good laparoscopic suturing technique.
直肠阴道瘘（RVF）是直肠与阴道之间由上皮覆盖的通道。大多数RVF是后天获得性的，最常见的原因是产科创伤。大多数高位RVF通过传统开放手术修复。腹腔镜修复RVF很少见，迄今为止文献中仅有一篇报道。
我们报告一例通过腹腔镜修复高位RVF的病例。一名56岁女性在腹腔镜辅助阴道子宫切除术后发生高位RVF，成功接受了腹腔镜手术。在此我们描述手术技术并简要回顾文献。
患者术后恢复顺利，随访6个月未发现复发。
对于选定的患者，腹腔镜修复高位RVF是可行的，但需要正确识别组织层面和良好的腹腔镜缝合技术。
