Selection of individuated operative procedure of rectovaginal fistula in 22 cases

Objective To summarize the experience in the operative treatment of rectvaginal fistula.Method Form January 1993 to March 2005, 22 cases with rectovaginal fistula were divided into high fistula,middle low fistula and recurrent fistula and trans-anal colon drawing,repair of rectomucosal free flap and trans-perineal body fistulectomy were performed respectively.Results 22 cases were cured.The colostomy was not necessary.With follow-up from 1～11 years,no recurrence was found.Conclusion The manifestation of recto-vaginal fistula is very complex.Successful keys to operation are correct choice of individuated surgical procedures,suitable operative timing,enough preoperative preparation and intensive postoperative management.