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Catalog
Didactics
Management of Rectovaginal Fistula
Management of Rectovaginal Fistula
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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
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