Imperial College London
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DrAilsaHart

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Professor of Practice
 
 
 
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Contact

 

ailsa.hart

 
 
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Location

 

Northwick ParkNorthwick Park and St Marks Site

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Summary

 

Publications

Citation

BibTex format

@article{Tozer:2013:10.1111/codi.12114,
author = {Tozer, P PJ and Balmforth, D and Kayani, B and Rahbour, G and Hart, AL and Phillips, RK},
doi = {10.1111/codi.12114},
journal = {Colorectal Dis},
title = {Surgical management of rectovaginal fistula in a tertiary referral centre: many techniques are needed.},
url = {http://dx.doi.org/10.1111/codi.12114},
year = {2013}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AIM: Surgery is the mainstay of treatment for rectovaginal fistula (RVF). Published success rates vary with initial success being around 50% rising to 80% with repeated surgery. Fistulas in Crohn's disease are more likely to recur. METHOD: A retrospective study was performed of rectovaginal fistula repair carried out between 2003 and 2008 in a tertiary referral centre . Patients undergoing surgery for a rectovaginal fistula under the senior author during the study period were identified and their clinical notes reviewed. RESULTS: Thirty-five patients underwent 50 operations. The median age was 42 years and 83% were tertiary referrals. Two patients were lost to follow-up. Healing occurred in 19 (58%) of 33 patients after a mean of 1.4 operations. The median time to success was 11 (2.5 - 48) months. The 'curative' group had an overall success of 73% (19 of 26). Seventy-five percent of non-IBD patients and 67% of those with Crohn's disease had successful treatment of the RVF. Twenty-four of thirty-five patients (67%) underwent creation of a stoma. Sixteen of twenty-four (67%) were deemed fit for restoration of continuity. No demographic or disease related factors were found to influence healing. CONCLUSION: Cure of rectovaginal fistula can be achieved by a range of surgical approaches including abdominal and anal. A variety of different anal techniques are necessary, depending on the integrity of the anal sphincter and the presence or absence of perineal descent/internal intussusception. © 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.
AU  - Tozer,P PJ
AU  - Balmforth,D
AU  - Kayani,B
AU  - Rahbour,G
AU  - Hart,AL
AU  - Phillips,RK
DO  - 10.1111/codi.12114
PY  - 2013///
TI  - Surgical management of rectovaginal fistula in a tertiary referral centre: many techniques are needed.
T2  - Colorectal Dis
UR  - http://dx.doi.org/10.1111/codi.12114
UR  - http://www.ncbi.nlm.nih.gov/pubmed/23331635
ER  -
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