ArticleInternational urogynecology journal2019
Surgical repair of rectovaginal fistulas: predictors of fistula closure.
Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Impact of Fecal Diversion on Outcomes Following Martius Flap Repair for Rectovaginal Fistula.International urogynecology journal · 2026Article
- Clinical outcomes of transvaginal fistulectomy and internal orifice closure in rectovaginal fistulas secondary to stapled prolapsectomy: a monocentric case series.Techniques in coloproctology · 2026Observational
- Article
- LUSSY score predictive of failure of surgical closure of obstetric rectovaginal fistula in the Democratic Republic of the Congo.Reproductive health · 2025Article
- Postoperative rectovaginal fistula: stoma may not be necessary-a French retrospective cohort.Techniques in coloproctology · 2024Article
- Martius fat pad flap procedure for management of obstetric rectovaginal fistula: A case report.Case reports in women's health · 2023Article
- Article
- Accurate anatomic repair of obstetric anal sphincter damage or rectovaginal fistula aided by prior ultrasonograghy: a cohort study.Annals of medicine and surgery (2012) · 2023Article
- Rectovaginal fistula surgery with horizontal mattress and running suture after unsuccessful first repair: a report of two cases.Annals of medicine and surgery (2012) · 2023Article
- Transvaginal approach for rectovaginal fistula: experience from a single institution.Updates in surgery · 2022Article
- Ano-rectovaginal fistula after obstetrical anal sphincter injury: Diverting stoma does not improve the surgical results.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022Article
- Minimally invasive endoscopic repair of rectovaginal fistula.World journal of gastrointestinal surgery · 2022Article
- Surgical treatment of rectovaginal fistula-predictors of outcome and effects on quality of life.International journal of colorectal disease · 2022Observational
- The Predictors of Intent to Prevent Obstetric Fistula Recurrence Among Women with Fistula in Ethiopia: A Facility-Based Cross-Sectional Study.International journal of women's health · 2022Article
- Fecal diversion in complex anal fistulas: Is there a way to avoid it?World journal of clinical cases · 2021Review
- Bartholin's gland abscess a rare cause of rectovaginal fistula: A case report and literature review.International journal of surgery case reports · 2021Article
- Isolated rectal buttonhole tears in obstetrics: case series and review of the literature.International urogynecology journal · 2021Review
- Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature.International urogynecology journal · 2021Review
- Stapled transperineal repair for low- and mid-level rectovaginal fistulas: A 5-year experience and comparison with sutured repair.World journal of gastroenterology · 2021Article
- Therapy of pessary-induced rectovaginal fistula and pelvic organ prolapse in elderly patients by vaginal approach and modified LeFort colpocleisis: a case series.Archives of gynecology and obstetrics · 2020Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
introduction and hypothesisWe report the clinical outcome of surgical repair for rectovaginal fistula (RVF) carried out by one operative team. We also investigate the predictive factors for fistula healing.
methodsA retrospective cohort of 63 patients underwent local surgical repair of RVF during January 2008 and December 2017 by one operative group. The clinical features of the patients were reviewed. The association between fistula closure and diverse clinical parameters, including operative method, fistula location, prior repair, and diverting stoma, was analyzed.
resultsSixty-three consecutive patients underwent 80 local surgical repairs by our surgical team. Forty-five patients eventually healed after an average of 1.22 procedures. The overall success rate per procedure was 71.2%, whereas the closure rate of the first operation was 55.5% (n = 35). The etiology of the fistula did not impact on the success rate of surgical repair. The history of prior repair predicted a lower success rate on both overall procedure (RR = 0.59, 95% CI 0.41-0.85, p = 0.008) and the first repair in our institution (RR = 0.50, 95% CI 0.31-0.80, p = 0.003). There was no difference in closure rate between the stoma group and the non-stoma group. Nevertheless, among the 15 patients who underwent more than one operation in our center, a diverting stoma seemed to be necessary (10 patients healed in the stoma group and none of the patients healed in the non-stoma group, p = 0.02).
conclusionsHistory of prior surgical repair is a risk factor for failure. Diverting stoma did not increase the overall closure rate, but it seemed to be necessary for patients in whom the first operation failed.
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