{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T19:03:24Z","timestamp":1772823804693,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,7,30]],"date-time":"2013-07-30T00:00:00Z","timestamp":1375142400000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Surgery is the mainstay of treatment for rectovaginal fistula (<jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>). Published success rates vary with initial success being around 50% rising to 80% with repeated surgery. Fistulae in Crohn's disease are more likely to recur.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective study was performed of <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> repair carried out between 2003 and 2008 in a tertiary referral centre. Patients undergoing surgery for an <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> under the senior author during the study period were identified and their clinical notes were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010five patients underwent 50 operations. The median age was 42\u00a0years and 83% were tertiary referrals. Two patients were lost to follow\u2010up. Healing occurred in 19 (58%) of 33 patients after a mean of 1.4 operations. The median time to success was 11 (2.5\u201348) months. The \u2018curative\u2019 group had an overall success of 73% (19 of 26). Seventy\u2010five per cent of non\u2010inflammatory bowel disease patients and 67% of those with Crohn's disease had successful treatment of the <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>. Twenty\u2010four of 35 patients (67%) underwent creation of a stoma. Sixteen of 24 (67%) were deemed fit for restoration of continuity. No demographic or disease related factors were found to influence healing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cure of <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> can be achieved by a range of surgical approaches including abdominal and anal. A variety of different anal techniques are necessary, depending on the integrity of the anal sphincter and the presence or absence of perineal descent\/internal intussusception.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12114","type":"journal-article","created":{"date-parts":[[2013,1,19]],"date-time":"2013-01-19T09:54:44Z","timestamp":1358589284000},"page":"871-877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Surgical management of rectovaginal fistula in a tertiary referral centre: many techniques are needed"],"prefix":"10.1111","volume":"15","author":[{"given":"P. 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