METHOD OF SURGICAL TREATMENT OF RECTOVAGINAL FACILITIES Russian patent published in 2017 - IPC A61B17/00 A61B17/42 

FIELD: medicine.

SUBSTANCE: in the treatment of rectovaginal fistula low, medium or high level excision fistula. Carry out a cut of the vaginal wall over the fistulous passage towards the perineum with a transition to the skin. At an angle to the line of the incision, the incision of the vaginal wall is made with the transition to the skin of the large labia on 3 cm. A flap of the full-layer segment of the posterior wall of the vagina and skin of the large labia is used for plasty. Performing an anterior sphincteruleurotoplasty. On the surface portion of the external anal sphincter, corrugating sutures are applied. Form the perineum by moving the flap in the vestibule of the vagina. Perform a plastic surgery of the anterior wall of the rectum with an U-shaped mucosal-submucosal graft.

EFFECT: method allows to reduce the number of purulent-septic complications and the risk of recurrence of the disease, by closing defects without tension.

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