Open AccessContemporary surgical management of rectovaginal fistula in Crohn's disease
Author(s) -
Michael Valente,
Tracy L. Hull
Publication year - 2014
Publication title -
world journal of gastrointestinal pathophysiology
Language(s) - English
Resource type - Journals
ISSN - 2150-5330
DOI - 10.4291/wjgp.v5.i4.487
Subject(s) - medicine , rectovaginal fistula , fistula , disease , intervention (counseling) , surgery , quality of life (healthcare) , complication , general surgery , intensive care medicine , crohn's disease , nursing
Rectovaginal fistula is a disastrous complication of Crohn's disease (CD) that is exceedingly difficult to treat. It is a disabling condition that negatively impacts a women's quality of life. Successful management is possible only after accurate and complete assessment of the entire gastrointestinal tract has been performed. Current treatment algorithms range from observation to medical management to the need for surgical intervention. A wide variety of success rates have been reported for all management options. The choice of surgical repair methods depends on various fistula and patient characteristics. Before treatment is undertaken, establishing reasonable goals and expectations of therapy is essential for both the patient and surgeon. This article aims to highlight the various surgical techniques and their outcomes for repair of CD associated rectovaginal fistula.