Skip to main content
Top
Published in: International Urogynecology Journal 7/2015

01-07-2015 | Case Report

Repair of a recurrent rectovaginal fistula with a biological graft

Authors: Kate Berger, Jonathan Faro, Sebastian Faro

Published in: International Urogynecology Journal | Issue 7/2015

Login to get access

Abstract

This case involves a patient with the congenital absence of the lower third of the vagina. While undergoing surgical restoration of the vagina, she sustained a laceration, which ultimately led to the development of a rectovaginal fistula. After two unsuccessful attempts at repair, the recommendation was for a diverting colostomy with another attempted repair, and she presented to our clinic to discuss other possible surgical options. The patient underwent repair of the fistula using a porcine-derived small intestinal submucosal extracellular matrix graft, which resulted in the repair of the rectovaginal fistula without recurrence at 18 months’ follow-up.
Literature
1.
go back to reference Griffin JE, Edwards C, Madden JD, Harrod MJ, Wilson JD (1976) Congenital absence of the vagina. The Mayer-Rokitansky-Kuster-Hauser syndrome. Ann Intern Med 85(2):224–236PubMedCrossRef Griffin JE, Edwards C, Madden JD, Harrod MJ, Wilson JD (1976) Congenital absence of the vagina. The Mayer-Rokitansky-Kuster-Hauser syndrome. Ann Intern Med 85(2):224–236PubMedCrossRef
3.
go back to reference Hudelist G, Gelle’n J, Singer C, Ruecklinger E, Czerwenka K, Kandolf O, Keckstein J (2005) Factors predicting severe perineal trauma during childbirth: role of forceps delivery routinely combined with mediolateral episiotomy. Am J Obstet Gynecol 192(3):875–881PubMedCrossRef Hudelist G, Gelle’n J, Singer C, Ruecklinger E, Czerwenka K, Kandolf O, Keckstein J (2005) Factors predicting severe perineal trauma during childbirth: role of forceps delivery routinely combined with mediolateral episiotomy. Am J Obstet Gynecol 192(3):875–881PubMedCrossRef
4.
go back to reference Radcliffe AG, Ritchie JK, Hawley PR, Lennard-Jones JE, Northover JM (1988) Anovaginal and rectovaginal fistulas in Crohn’s disease. Dis Colon Rectum 31(2):94–99PubMedCrossRef Radcliffe AG, Ritchie JK, Hawley PR, Lennard-Jones JE, Northover JM (1988) Anovaginal and rectovaginal fistulas in Crohn’s disease. Dis Colon Rectum 31(2):94–99PubMedCrossRef
5.
go back to reference Roshanravan R, Ghahramani L, Hosseinzadeh M (2014) A new method to repair recto-vaginal fistula: use of human amniotic membrane in an animal model. Adv Biomed Res 3:114PubMedCentralPubMedCrossRef Roshanravan R, Ghahramani L, Hosseinzadeh M (2014) A new method to repair recto-vaginal fistula: use of human amniotic membrane in an animal model. Adv Biomed Res 3:114PubMedCentralPubMedCrossRef
6.
go back to reference McDevitt CA, Wildey GM, Cutrone RM (2003) Transforming growth factor-beta 1 in a sterilized tissue derived from the pig small intestine submucosa. J Biomed Mater Res A 67(2):637–640PubMedCrossRef McDevitt CA, Wildey GM, Cutrone RM (2003) Transforming growth factor-beta 1 in a sterilized tissue derived from the pig small intestine submucosa. J Biomed Mater Res A 67(2):637–640PubMedCrossRef
7.
go back to reference Badylak S, Kokini K, Tullius B, Whitson B (2001) Strength over time of a resorbable bioscaffold for body wall repair in a dog model. J Surg Res 99(2):282–287PubMedCrossRef Badylak S, Kokini K, Tullius B, Whitson B (2001) Strength over time of a resorbable bioscaffold for body wall repair in a dog model. J Surg Res 99(2):282–287PubMedCrossRef
Metadata
Title
Repair of a recurrent rectovaginal fistula with a biological graft
Authors
Kate Berger
Jonathan Faro
Sebastian Faro
Publication date
01-07-2015
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 7/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-015-2701-1

Other articles of this Issue 7/2015

International Urogynecology Journal 7/2015 Go to the issue