The first experience of using «evagination» method in patients with rectovaginal fistulas

Despite the variety of methods of rectovaginal fistulas surgery, the recurrence of the disease reaches 80 % of cases. The «evagination» method was proposed in the NMRC of coloproctology for the combined treatment of RVF and anal sphincter insufficiency. The study included 10 women with rectovaginal fistula and anal sphincter insufficiency. The age of patients was from 25 to 52 (33,6 ± 7,73) years. Etiology of rectovaginal fistula: postpartum — 7 (70.0 %); iatrogenic — 2 (20.0 %); malformation — 1 (10.0 %). The follow-up period ranged from 4 to 14 months (8,4 ± 2,9). The «evagination» method was used in all patients. The disease recurrence occurred in 1 patient (10.0 %) on the 8th day after surgery. Conclusion: the «evagination» method can be considered as a surgery of choice in the treatment of extended defects of the rectovaginal septum with anal sphincter insufficiency due to its defect.