METHOD FOR ELIMINATION OF RECTOVAGINAL FISTULAS Russian patent published in 2024 - IPC A61B17/42 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to colorectal surgery. Transvaginal approach is used to make a longitudinal incision along the edge of the fistulous opening in the vagina. Vaginal wall is mobilized in a lateral direction, a fistulous opening in the vaginal wall and a rectovaginal fistula are excised to a rectal wall. Mobilized vaginal wall is displaced laterally. Then the vaginal incision is sutured with separate sutures, then a longitudinal incision is made along the edge of the fistulous opening in the rectum, which is opposite to the incision in the vagina. Rectal wall is mobilized in a lateral direction opposite to the direction of mobilization of the vaginal wall. Fistulous opening in a rectal wall is excised. Mobilized rectal wall is displaced in the lateral direction opposite to the displacement of the vaginal wall; the rectal incision is sutured together with separate sutures.

EFFECT: method enables reducing the surgical trauma, leaving the proximal vaginal and rectal wall, the anal sphincter intact, reducing the number of recurrences of the disease, reduce degree of manifestation of fibrous changes in vagina and rectum, reduce intensity of pain syndrome and improve quality of life of patients in postoperative period.

1 cl, 6 dwg, 1 ex