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Published in: Diseases of the Colon & Rectum 9/2006

01-09-2006 | Technical Notes

Transperineal Repair of Persistent Rectovaginal Fistulas Using an Acellular Cadaveric Dermal Graft (AlloDerm®)

Authors: Andrew A. Shelton, M.D., Mark L. Welton, M.D.

Published in: Diseases of the Colon & Rectum | Issue 9/2006

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Abstract

A number of surgical techniques have been described to treat rectovaginal fistulas. Recurrent or persistent fistulas after previous repair can be particularly difficult to treat. We report a novel technique used to successfully repair rectovaginal fistulas after failed mucosal advancement flap procedures using a transperineal-layered closure with an interposed graft of acellular cadaveric dermis (Alloderm®).
Literature
1.
go back to reference Khanduja, KS, Yamashita, HJ, Wise, WE,Jr, et al. 1994Delayed repair of obstetric injuries of the anorectum and vagina. A stratified surgical approachDis Colon Rectum37344349PubMedCrossRef Khanduja, KS, Yamashita, HJ, Wise, WE,Jr,  et al. 1994Delayed repair of obstetric injuries of the anorectum and vagina. A stratified surgical approachDis Colon Rectum37344349PubMedCrossRef
2.
go back to reference Tsang, CB, Madoff, RD, Wong, WD, et al. 1998Anal sphincter integrity and function influences outcome in rectovaginal fistula repairDis Colon Rectum4111411146PubMedCrossRef Tsang, CB, Madoff, RD, Wong, WD,  et al. 1998Anal sphincter integrity and function influences outcome in rectovaginal fistula repairDis Colon Rectum4111411146PubMedCrossRef
3.
go back to reference Lowry, AC, Thorson, AG, Rothenberger, DA, Goldberg, SM 1988Repair of simple rectovaginal fistulas. Influence of previous repairsDis Colon Rectum31676678PubMed Lowry, AC, Thorson, AG, Rothenberger, DA, Goldberg, SM 1988Repair of simple rectovaginal fistulas. Influence of previous repairsDis Colon Rectum31676678PubMed
4.
go back to reference MacRae, HM, McLeod, RS, Cohen, Z, et al. 1995Treatment of rectovaginal fistulas that has failed previous repair attemptsDis Colon Rectum38921925PubMedCrossRef MacRae, HM, McLeod, RS, Cohen, Z,  et al. 1995Treatment of rectovaginal fistulas that has failed previous repair attemptsDis Colon Rectum38921925PubMedCrossRef
5.
go back to reference Aartsen, EJ, Sindram, IS 1988Repair of the radiation induced rectovaginal fistulas without or with interposition of thebulbocavernosus muscle (Martius procedure)Eur J Surg Oncol14171177PubMed Aartsen, EJ, Sindram, IS 1988Repair of the radiation induced rectovaginal fistulas without or with interposition of thebulbocavernosus muscle (Martius procedure)Eur J Surg Oncol14171177PubMed
6.
go back to reference Gorenstein, L, Boyd, JB, Ross, TM 1988Gracilis muscle repair of rectovaginal fistula after restorative proctocolectomy. Report of two casesDis Colon Rectum31730734PubMed Gorenstein, L, Boyd, JB, Ross, TM 1988Gracilis muscle repair of rectovaginal fistula after restorative proctocolectomy. Report of two casesDis Colon Rectum31730734PubMed
7.
go back to reference Gurlek, A, Gherardini, G, Coban, YK, Gorgu, M, Erdogan, B, Evans, GR 1997The repair of multiple rectovaginal fistulas with the neurovascular pudendal thigh flap (Singapore flap)Plast Reconstr Surg9920712073PubMed Gurlek, A, Gherardini, G, Coban, YK, Gorgu, M, Erdogan, B, Evans, GR 1997The repair of multiple rectovaginal fistulas with the neurovascular pudendal thigh flap (Singapore flap)Plast Reconstr Surg9920712073PubMed
8.
go back to reference Onodera, H, Nagayama, S, Kohmoto, I, et al. 2003Novel surgical repair with bilateral gluteus muscle patching for intractable rectovaginal fistulaTech Coloproctol7198202PubMedCrossRef Onodera, H, Nagayama, S, Kohmoto, I,  et al. 2003Novel surgical repair with bilateral gluteus muscle patching for intractable rectovaginal fistulaTech Coloproctol7198202PubMedCrossRef
10.
go back to reference Buinewicz, B, Rosen, B 2004Acellular cadaveric dermis (AlloDerm): a new alternative for abdominal hernia repairAnn Plast Surg52188194PubMedCrossRef Buinewicz, B, Rosen, B 2004Acellular cadaveric dermis (AlloDerm): a new alternative for abdominal hernia repairAnn Plast Surg52188194PubMedCrossRef
11.
go back to reference Clark, JM, Saffold, SH, Israel, JM 2003Decellularized dermal grafting in cleft palate repairArch Facial Plast Surg54045PubMedCrossRef Clark, JM, Saffold, SH, Israel, JM 2003Decellularized dermal grafting in cleft palate repairArch Facial Plast Surg54045PubMedCrossRef
12.
go back to reference Eppley, BL 2001Experimental assessment of the revascularization of acellular human dermis for soft-tissue augmentationPlast Reconstr Surg107757762PubMedCrossRef Eppley, BL 2001Experimental assessment of the revascularization of acellular human dermis for soft-tissue augmentationPlast Reconstr Surg107757762PubMedCrossRef
13.
go back to reference Wax, MK, Winslow, CP, Andersen, PE 2002Use of allogenic dermis for radial forearm free flap donor site coverageJ Otolaryngol31341345PubMed Wax, MK, Winslow, CP, Andersen, PE 2002Use of allogenic dermis for radial forearm free flap donor site coverageJ Otolaryngol31341345PubMed
14.
go back to reference Miklos, JR, Kohli, N 1999Rectovaginal fistula repair utilizing a cadaveric dermal allograftInt Urogynecol J Pelvic Floor Dysfunct10405406PubMedCrossRef Miklos, JR, Kohli, N 1999Rectovaginal fistula repair utilizing a cadaveric dermal allograftInt Urogynecol J Pelvic Floor Dysfunct10405406PubMedCrossRef
15.
go back to reference Pye, PK, Dada, T, Duthie, G, Phillips, K 2004Surgisistrade mark mesh: a novel approach to repair of a recurrent rectovaginal fistulaDis Colon Rectum4715541556PubMed Pye, PK, Dada, T, Duthie, G, Phillips, K 2004Surgisistrade mark mesh: a novel approach to repair of a recurrent rectovaginal fistulaDis Colon Rectum4715541556PubMed
Metadata
Title
Transperineal Repair of Persistent Rectovaginal Fistulas Using an Acellular Cadaveric Dermal Graft (AlloDerm®)
Authors
Andrew A. Shelton, M.D.
Mark L. Welton, M.D.
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 9/2006
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-006-0619-x

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