Document Detail


Outcomes after repair of rectovaginal fistulas using bioprosthetics.
MedLine Citation:
PMID:  18478298     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to report the outcomes with the use of advancement flaps and bioprosthetic grafts for the management of rectovaginal fistulas. METHODS: A retrospective analysis of prospectively collected data was performed for all patients treated with a rectovaginal fistula. RESULTS: There were 44 patients in the advancement flap group. A mucosal flap repair was performed for 29 patients, and 15 patients had an anodermal flap repair. The mean follow-up was 10 (range, 6-22) months. There were 34 patients in the bioprosthetic repair group. A bioprosthetic interposition graft was used to repair the fistula in 27 patients with a mean follow-up of 12 (range, 6-22) months, and 7 patients had a bioprosthetic plug repair of their fistula with a mean follow-up of 6 (range, 3-12) months. The fistula recurred in 15 patients (34 percent) who were managed by a flap repair, 5 patients (19 percent) who were managed by a bioprosthetic sheet, and 1 patient (14 percent) who was treated with a bioprosthetic plug. CONCLUSIONS: Use of bioprosthetics for the management of rectovaginal fistulas is a new technique, which, based on early experience, seems to yield results equal to advancement flap repair.
Authors:
C Neal Ellis
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-05-14
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  51     ISSN:  1530-0358     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-03     Completed Date:  2008-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1084-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of South Alabama, Mobile, Alabama, USA. nellis@usouthal.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Bioprosthesis*
Female
Follow-Up Studies
Humans
Middle Aged
Patient Satisfaction
Prosthesis Design
Prosthesis Implantation / instrumentation*
Rectovaginal Fistula / pathology,  surgery*
Recurrence / prevention & control
Retrospective Studies
Skin Transplantation / methods
Surgical Flaps
Suture Techniques
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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