Didactics-Management of Rectovaginal Fistula

Video Transcription

Video Summary

In this video, the speaker discusses the epidemiology and management of recto-vaginal fistulas. They begin by explaining the difference between anal incontinence, fecal incontinence, and recto-vaginal fistulas. Anal incontinence refers to the involuntary loss of solid, liquid, or gas stool, while fecal incontinence specifically refers to the loss of liquid or solid stool. Recto-vaginal fistulas are a communication between the rectum and vagina and can present with either fecal incontinence or anal incontinence. The speaker goes on to discuss the causes of recto-vaginal fistulas, such as obstetric factors, iatrogenic factors, inflammatory bowel disease, infections, and radiation-induced injuries. They then explain various classification systems and treatment approaches for recto-vaginal fistulas, emphasizing the importance of good exposure, tension-free closure, and aggressive excision of surrounding tissue. The speaker also briefly mentions the management of radiation-induced fistulas and the use of different grafts for repair. They conclude by highlighting the importance of postoperative care and the necessity of colostomies in certain cases. No credits were granted in the video.

Asset Subtitle

Baburam Dixit Thapa
May 2022

Keywords

recto-vaginal fistulas

anal incontinence

fecal incontinence

causes

treatment approaches

postoperative care