Delancey John O L, Berger Mitchell B
Department Obstetrics and Gynecology, University of Michigan, Women's Hospital, Ann Arbor, Michigan, USA.
Clin Obstet Gynecol. 2010 Mar;53(1):134-44. doi: 10.1097/GRF.0b013e3181cf7488.
Rectovaginal fistulas and chronic anal sphincter lacerations are uncommon complications that are most often secondary to vaginal delivery, gynecologic surgery, and inflammatory bowel disease. In this chapter, we will review the pertinent anatomy, focusing on the 6 structures that should be considered during the repair and surgical techniques to promote restoration on normal anatomy and function. Key concepts include a tension-free repair, meticulous hemostasis, and postoperative bowel management.
直肠阴道瘘和慢性肛门括约肌撕裂是罕见的并发症，最常见于阴道分娩、妇科手术和炎症性肠病之后。在本章中，我们将回顾相关解剖结构，重点关注修复过程中应考虑的6个结构以及促进恢复正常解剖结构和功能的手术技术。关键概念包括无张力修复、细致止血和术后肠道管理。
