Study objective: To demonstrate the surgical repair of a rectovaginal fistula RVF using the modified Martius procedure. Setting: RVF is abnormal epithelialized connections between the vagina and rectum. Causes of RVF include obstetric trauma, Crohn disease, pelvic irradiation, and postsurgical complications. Many surgical interventions have been developed, from the laparoscopic technique to muscle transposition and even rectal resection.
Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. They can form when anal abscesses do not heal properly. Anal fistulae originate from the anal glands , which are located between the internal and external anal sphincter and drain into the anal canal. The tract formed by this process is a fistula. Abscesses can recur if the fistula seals over, allowing the accumulation of pus.
Your care will be adapted to meet your individual needs and may differ from what is described here. It's important that you follow your surgeon's advice. Anal fistula usually occurs as a result of an infection or an abscess collection of pus in the anus.