What is the best method of rectovaginal fistula repair? A 25-year single-center experience

ConclusionsLocal procedures such as mucosal flap or primary closure and sphincteroplasty are associated with a high success rate should be considered in patients with low-lying, simple RVF. Abdominal resections with and without proximal diversions and ileostomy takedown have a relatively high success rate in selected patients. The low success rate of fibrin glue and fistula plugs demonstrates their low efficacy in RVF; thus, these procedures should be avoided in the treatment algorithm.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research