Brief Reports
Copyright ©The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 1, 2004; 10(15): 2299-2300
Published online Aug 1, 2004. doi: 10.3748/wjg.v10.i15.2299
Transanal approach in repairing acquired rectovestibular fistula in females
Ya-Jun Chen, Ting-Chong Zhang, Jin-Zhe Zhang
Ya-Jun Chen, Ting-Chong Zhang, Jin-Zhe Zhang, Beijing Children’s Hospital, Capital University of Medical Sciences, Beijing 100045, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Ya-Jun Chen, Beijing Children’s Hospital, Capital University of Medical Sciences, Beijing 100045, China.
Telephone: +86-10-63296188 Fax: +86-10-68011503
Received: December 17, 2003
Revised: December 23, 2003
Accepted: January 13, 2004
Published online: August 1, 2004

AIM: To summarize the operative experience of the transanal approach in acquired rectovestibular fistula repair.

METHODS: Ninety-six cases of acquired rectovestibular fistula in young females were analyzed retrospectively. The etiology and operative procedure were discussed. Operative essential points were, the patient was laid in prone frog position, with the knees and hips flexed at 90o; the perineum was elevated; and the anal opening was exposed. Four stay sutures were applied to the margin of the fistular orifice in the anal opening at points 3, 6, 9 and 12 o’clock. A circular incision of mucosa surrounding the stay sutures was made. The fistula was dissected from its anal opening to its vestibular opening. The wound of vestibule was sutured, and the rectoanal wound was then sutured transversely.

RESULTS: All the 96 patients recovered uneventfully from operation with a successful rate of 93.75%.

CONCLUSION: The transanal approach in the treatment of the acquired rectovestibular fistula is a simple and feasible technique.

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