Rectovaginal fistula

M. T. Huang, K. J. Chang, S. M. Wang, Y. H. Chou, C. S. Lee, S. C. Hsu, W. J. Chen, C. C. Chen, W. T. Hung, K. M. Chen

Research output: Contribution to journalArticle

Abstract

From Jan. 1973 to Dec. 1988, 48 patients with rectovaginal fistula were managed at National Taiwan University Hospital. Etiologies of rectovaginal fistula included: 22 cases (45.8%) were caused by congenital anomaly; 15 cases (31.2%) by pelvic malignamcy; 10 cases (20.8%) by birth injury, operative injury and traffic accident; 1 case (2.0%) by inflammatory bowel disease. Forty out of these 48 patients received definite treatment and were followed up for at least 1 year. Among these 48 patients, operative mortality was 4.8% (2 cases). The operative results were excellent, and most of fistulas were easy to be repaired locally. 87.5% cure rate was obtained in traumatic cases and 90% in congenital cases. On the contrary, the cure rate was low (30%) in malignant cases in spite of aggressive treatment with temporary colostomy and local repair. Our data suggests that the surgical management and outcome of rectovaginal fistula were influenced by the underlying causes.

Original languageEnglish
Pages (from-to)475-478
Number of pages4
JournalJournal of Surgical Association Republic of China
Volume22
Issue number6
Publication statusPublished - 1989
Externally publishedYes

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Rectovaginal Fistula
Birth Injuries
Colostomy
Traffic Accidents
Taiwan
Inflammatory Bowel Diseases
Fistula
Mortality
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Huang, M. T., Chang, K. J., Wang, S. M., Chou, Y. H., Lee, C. S., Hsu, S. C., ... Chen, K. M. (1989). Rectovaginal fistula. Journal of Surgical Association Republic of China, 22(6), 475-478.

Rectovaginal fistula. / Huang, M. T.; Chang, K. J.; Wang, S. M.; Chou, Y. H.; Lee, C. S.; Hsu, S. C.; Chen, W. J.; Chen, C. C.; Hung, W. T.; Chen, K. M.

In: Journal of Surgical Association Republic of China, Vol. 22, No. 6, 1989, p. 475-478.

Research output: Contribution to journalArticle

Huang, MT, Chang, KJ, Wang, SM, Chou, YH, Lee, CS, Hsu, SC, Chen, WJ, Chen, CC, Hung, WT & Chen, KM 1989, 'Rectovaginal fistula', Journal of Surgical Association Republic of China, vol. 22, no. 6, pp. 475-478.
Huang MT, Chang KJ, Wang SM, Chou YH, Lee CS, Hsu SC et al. Rectovaginal fistula. Journal of Surgical Association Republic of China. 1989;22(6):475-478.
Huang, M. T. ; Chang, K. J. ; Wang, S. M. ; Chou, Y. H. ; Lee, C. S. ; Hsu, S. C. ; Chen, W. J. ; Chen, C. C. ; Hung, W. T. ; Chen, K. M. / Rectovaginal fistula. In: Journal of Surgical Association Republic of China. 1989 ; Vol. 22, No. 6. pp. 475-478.
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AU - Chang, K. J.

AU - Wang, S. M.

AU - Chou, Y. H.

AU - Lee, C. S.

AU - Hsu, S. C.

AU - Chen, W. J.

AU - Chen, C. C.

AU - Hung, W. T.

AU - Chen, K. M.

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AB - From Jan. 1973 to Dec. 1988, 48 patients with rectovaginal fistula were managed at National Taiwan University Hospital. Etiologies of rectovaginal fistula included: 22 cases (45.8%) were caused by congenital anomaly; 15 cases (31.2%) by pelvic malignamcy; 10 cases (20.8%) by birth injury, operative injury and traffic accident; 1 case (2.0%) by inflammatory bowel disease. Forty out of these 48 patients received definite treatment and were followed up for at least 1 year. Among these 48 patients, operative mortality was 4.8% (2 cases). The operative results were excellent, and most of fistulas were easy to be repaired locally. 87.5% cure rate was obtained in traumatic cases and 90% in congenital cases. On the contrary, the cure rate was low (30%) in malignant cases in spite of aggressive treatment with temporary colostomy and local repair. Our data suggests that the surgical management and outcome of rectovaginal fistula were influenced by the underlying causes.

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