Abu Gazala Mahmoud, Wexner Steven D
a Department of Colorectal Surgery , Cleveland Clinic Florida , Weston , FL , USA.
Expert Rev Gastroenterol Hepatol. 2017 May;11(5):461-471. doi: 10.1080/17474124.2017.1296355. Epub 2017 Mar 1.
Rectovaginal fistulas are a relatively rare, but debilitating condition which pose a significant treatment challenge. Areas covered: In this manuscript we discuss the etiology, classification as well as the manifestations and evaluation of rectovaginal fistulas. We summarize the different surgical techniques and evaluate their success rates and perioperative considerations according to cited sources. Expert commentary: A deep understanding of the disease, treatment options, and familiarity with the different surgical treatment options available is mandatory for choosing the correct treatment. When the surgical treatment is tailored to the specific fistula and patient, many patients can eventually have successful resolution. This review will address the management and patient outcomes after treatment for rectovaginal fistulas.
直肠阴道瘘是一种相对罕见但使人虚弱的病症，带来了重大的治疗挑战。涵盖领域：在本手稿中，我们讨论了直肠阴道瘘的病因、分类以及临床表现和评估。我们根据引用的资料总结了不同的手术技术，并评估了它们的成功率和围手术期注意事项。专家评论：对该疾病、治疗选择有深入理解，并熟悉可用的不同手术治疗选择，对于选择正确的治疗方法是必不可少的。当手术治疗针对特定的瘘管和患者进行定制时，许多患者最终可以成功治愈。本综述将探讨直肠阴道瘘治疗后的管理和患者预后。
