Adelowo Amos, Ellerkmann Richard, Rosenblatt Peter
From the *Department of Obstetrics and Gynecology, Division of Urogynecology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA; and †Division of Urogynecology, Weinberg Center for Women's Health and Medicine, Mercy Medical Center, Baltimore, MD.
Female Pelvic Med Reconstr Surg. 2014 Jan-Feb;20(1):52-5. doi: 10.1097/SPV.0b013e3182a33194.
To describe a novel surgical technique for complete excision of a rectovaginal fistula tract using a disposable biopsy punch during a transvaginal rectovaginal fistula repair and to present our initial surgical experience.
Description of 4 cases of simple rectovaginal fistulas and an innovative surgical technique for the complete excision of the fistula tract using a disposable biopsy punch.
Successful 3-, 9-, and 12-month follow-up of 4 cases with simple rectovaginal fistulas after transvaginal rectovaginal fistula repair using a novel approach for complete fistula tract excision with a disposable biopsy punch and layered nonoverlapping suture closure. Demographic information reported included age, parity, medical and surgical history, as well as fistula characteristics including size, location, presenting symptoms, and duration of symptoms. We describe our operative technique with picture description.
This novel approach using a disposable punch biopsy device to complete excision of simple rectovaginal fistula tracts during a transvaginal rectovaginal fistula repair can help with achieving a successful surgical outcome.
描述一种在经阴道直肠阴道瘘修补术中使用一次性活检打孔器完整切除直肠阴道瘘管的新型手术技术，并介绍我们的初步手术经验。
描述4例单纯直肠阴道瘘病例以及一种使用一次性活检打孔器完整切除瘘管的创新手术技术。
对4例单纯直肠阴道瘘患者在经阴道直肠阴道瘘修补术后进行了成功的3个月、9个月和12个月随访，采用了一种新型方法，即使用一次性活检打孔器完整切除瘘管并分层非重叠缝合关闭。报告的人口统计学信息包括年龄、产次、内科和外科病史，以及瘘管特征，包括大小、位置、表现症状和症状持续时间。我们用图片描述了手术技术。
这种在经阴道直肠阴道瘘修补术中使用一次性打孔活检装置完整切除单纯直肠阴道瘘管的新型方法有助于实现成功的手术结果。
