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Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula
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
Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula
Indications.
Acquired H-Type fistula in patients with AIDS and no treatment.
N/A
Prone position.
Contrast enema
Exam under anesthesia demonstrating the fistula
Fistula going from the crypt to the vagina
Advantage: Minimal rate of recurrence of fistula when compared to other techniques
Disadvantage: Experience with PSARP needed to safely perform this procedure
Risk of stricture
Risk of fistula recurrence
None
None
N/A
Review Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula.