Rectovaginal fistula: A new approach by stapled transanal rectal resection

Giovanni Li Destri, Beniamino Scilletta, Tiziana Grazia Tomaselli, Giuseppe Zarbo

Research output: Contribution to journalArticlepeer-review


Many surgical procedures have been developed to repair rectovaginal fistulas even if no "procedure of choice" is reported. The authors report a case of relatively uncommon, complex, medium-high post-obstetric rectovaginal fistula without sphincteral lesions and treated with a novel tailored technique. Our innovative surgical management consisted of preparing the neck of the fistula inside the vagina and folding it into the rectum so as to enclose the fistula within two semicontinuous sutures (stapled transanal rectal resection); no fecal diversion was performed. Postoperative follow-up at 9 months showed no recurrence of the fistula.

Original languageEnglish
Pages (from-to)601-603
Number of pages3
JournalJournal of Gastrointestinal Surgery
Issue number3
Publication statusPublished - Mar 2008


  • Obstetric trauma
  • Rectovaginal fistula

ASJC Scopus subject areas

  • Surgery


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