Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula
Video Type: CVideo- 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: Carlos Reck
Published:
Specialties: Pediatric Surgery
Schools: Nationwide Children's Hospital
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Loading...Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula.
Contributors: Alejandra Vilanova, Richard Wood, Victoria Lane, and Marc Levitt
Procedure
Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula
Indications.
Indications
Acquired H-Type fistula in patients with AIDS and no treatment.
Contraindications
Instrumentation
Setup
Prone position.
Preoperative Workup
Contrast enema
Exam under anesthesia demonstrating the fistula
Anatomy and Landmarks
Fistula going from the crypt to the vagina
Advantages/Disadvantages
Advantage: Minimal rate of recurrence of fistula when compared to other techniques
Disadvantage: Experience with PSARP needed to safely perform this procedure
Complications/Risks
Risk of stricture
Risk of fistula recurrence
Disclosure of Conflicts
None
Acknowledgements
None
References
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