Research Article
Volume 8 Issue 6 - 2021
Rectovaginal Fistula: A Devastating Pathology. A New Surgical Procedure!
Morelos Adolfo García Sánchez1*, Mireya De La Fuente González2, Luis Andrés Sáenz Romero3, Oswaldo Díaz González4, Alejandro Badillo Bravo5, Daniel Avilés Santamaría3, María Isabel Estrada Rodríguez6, Elizabeth Mendoza Portillo7, Azalia Rosalía Pérez Galicia3, Imelda Yasmín Palma Cortés3 , Daniel Perez Nuñez3, Diego Enrique Martínez Castañeda3, Roxana Islas Mendoza3, and José Juan Lozano Nuevo8
1Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
2General Surgeon, Surgical Department at “Dr. Gaudencio González Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
3General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
4Internal Medicine and Rheumatologist, Department Internal Medicine at Hospital National Medical Center “20 de Noviembre ISSSTE”, National Autonomous University of Mexico, México City, México
5General Surgeon, Surgical Department at “Dr. Belisario Dominguez” Specialty Hospital, Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
6Pediatrist, Pediatrician Department. Regional General Hospital No. 251, Metepec. Mexican Social Security Institute. National Autonomous University of Mexico. México State, México
7Internal Medicine and Critical Medicine Care, Intensive Care Unit Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico
8Internal Medicine, Internal Medicine Department at “Ticoman” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, Mexico.
Received: May 05, 2021; Published: May 27, 2021




Abstract

Introduction: The rectovaginal fistula is a rare pathology, but a recto-vaginal cloaca is extremely, its incidence is even lower. It is complexly difficult to classify the recto-vaginal fistulas in this series based on their size, so the real abnormal term would be the recto-vaginal cloaca.

Material and Methods: It is a study with a retrospective, longitudinal, observational and descriptive design. The study period runs from September 2011 to September 2021. The files of all patients who were treated for recto-vaginal fistula in the Colon and Rectum Surgery service in three hospitals in Mexico City were reviewed.

Results: From a total of 3, 771 files with the diagnosis of ano-rectal fistula, only 9 female patients with recto-vaginal fistula were detected, which represented less than 1%; with an average age of 25 years, a range of between 19 to 33 years, without chronic degenerative diseases.

Discussion: The surgical treatment of recto-vaginal fistulas (recto-vaginal cloacas) must be individualized, which represents a formidable challenge; individualization should be based on anatomical characteristics, surrounding tissues, and integrity of the sphincter complex. The treatment options for rectovaginal fistulas including acquired rectovaginal cloacas are many and varied and so far there are no reports in the literature on their therapeutic approach.

Conclusion: It is imperative to have a deep knowledge of the anatomy and physiology of the organs involved, as well as skill and experience of surgical techniques, to achieve a good prognosis in favor of our patients.

Keywords: Fistula; Rectovaginal; Sewer; Spherical; Acquired; Therapy; Sewer

References

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Citation: Morelos Adolfo García Sánchez., et al. “Rectovaginal Fistula: A Devastating Pathology. A New Surgical Procedure!”. EC Gastroenterology and Digestive System 8.6 (2021): 39-46.

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