2012 Annual Meeting-Rectovaginal Fistula Repair Using A Disposable Biopsy Punch

Rectovaginal Fistula Repair Using A Disposable Biopsy Punch

Video Transcription

Video Summary

This video demonstrates a novel approach to repairing a rectovaginal fistula using a biopsy punch to remove the fistula tract. The patient is a 24-year-old woman who developed the fistula after a forceps delivery. Previous attempts at repair had failed. The procedure involves using methylene blue to stain the tract, inserting a lacrimal duct probe through a moistened sponge into the rectum and the fistula tract, and using a 6 mm Miltex biopsy punch to remove the tract. Incisions are made for better access, and the rectal mucosa is closed vertically with stitches. The success of the repair is attributed to the use of the biopsy punch technique. The patient was discharged on a specialized diet. No credits were given for this video.

Keywords

rectovaginal fistula repair

biopsy punch technique

forceps delivery complications

methylene blue staining

rectal mucosa closure