How to do a laparoscopic repair of a post-hysterectomy rectovaginal fistula?

The exact incidence of iatrogenic post-hysterectomy rectovaginal fistula is unknown. The overall surgical management for this group of patients is different from rectovaginal fistula in general. These are high fistula presenting with a diversion stoma in situ and are characterised well on a rectal contrast pelvic computed tomography (CT). We have described the laparoscopic repair of these fistulae.