Repair of a recurrent rectovaginal fistula with a biological graft.

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.

• Authors: Kate Berger, Jonathan Faro, Sebastian Faro
• Journal: International urogynecology journal (Int Urogynecol J) Vol. 26 Issue 7 Pg. 1071-3 (Jul 2015) ISSN: 1433-3023 [Electronic] England
• PMID: 25941124 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Humans
• Rectovaginal Fistula (surgery)
• Transplants
• Vagina (abnormalities)