Female Pelvic Med Reconstr Surg 2014 Jan-Feb;20(1):52-5
From the *Department of Obstetrics and Gynecology, Division of Urogynecology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA; and †Division of Urogynecology, Weinberg Center for Women's Health and Medicine, Mercy Medical Center, Baltimore, MD.
Objectives: To describe a novel surgical technique for complete excision of a rectovaginal fistula tract using a disposable biopsy punch during a transvaginal rectovaginal fistula repair and to present our initial surgical experience.
Methods: Description of 4 cases of simple rectovaginal fistulas and an innovative surgical technique for the complete excision of the fistula tract using a disposable biopsy punch.
Results: Successful 3-, 9-, and 12-month follow-up of 4 cases with simple rectovaginal fistulas after transvaginal rectovaginal fistula repair using a novel approach for complete fistula tract excision with a disposable biopsy punch and layered nonoverlapping suture closure. Read More