Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy

Figure 1

(a) A curvilinear incision was made anterior to the rectum and a plane between the rectum and vagina was created. Then, identification and excision of the fistula tract was performed. (b) Next step is the preparation of the anal sphincter complex. (c) Visualized sphincter muscles were fixed anteriorly after the repairment of rectoanal mucosa. (d) Then, operation was completed after the restoration of the vaginal mucosa in a similar manner as episiotomy.

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