Journal of VolgSMU
Quarterly scientific-practical journal

UDK: [616-089; 617.5]: 616.6

OPTIMIZATION OF SELECTING AN OPERATION METHOD IN RECTOVAGINAL FISTULAS

V. S. Groshilin, E. V. Chernyshova

Ростовский государственный медицинский университет

Abstract

We optimized the selection of surgical treatment methods in patients with rectovaginal fistulas by individual justification of the selected method and development of differential diagnosis and treatment algorithm. The use of the technique of radical excision of rectovaginal fistula, complemented with anterior sphincterolevatoroplasty is the most promising way to significantly reduce the number of postoperative complications and recurrence of the disease by restoring the layered structure of the rectovaginal septum, to decrease the duration of pain and promote the restoration of the closing function of the rectum.

Keywords

rectovaginal fistula, rectovaginal septum, recurrence, anterior sphincterolevatoroplasty.

Contacts

Грошилин Виталий Сергеевич — д. м. н., заведующий кафедрой хирургических болезней № 2, Ростовский государственный медицинский университет, e-mail: Dr.dmitriev@inbox.ru