2012 Annual Meeting-Complex Rectovaginal Fistula Repair with non-cross-linked Porcine Graft Augmentation

Complex Rectovaginal Fistula Repair with non-cross-linked Porcine Graft Augmentation

Video Transcription

Video Summary

In this surgical video, a unique approach to repairing a complex rectovaginal fistula is demonstrated using a non-cross-linked porcine dermal graft. The patient is a 53-year-old female with a history of the fistula for 29 years. Due to the large size and weakened rectovaginal fascia, a xenograft augmentation was chosen. A xenograft is a reconstructive tissue matrix derived from porcine dermis that promotes tissue regeneration and reduces rejection. The surgical procedure involves excising the fistula tract, re-approximating the rectal mucosa edges, imbricating the mucosa, and using a graft material to cover the dissected area. Postoperatively, there were no recurrence or complications reported at one year follow-up. No credits were mentioned in the transcript.

Keywords

surgical video

rectovaginal fistula repair

porcine dermal graft

xenograft augmentation

tissue regeneration