{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:18Z","timestamp":1787014038781,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,21]],"date-time":"2015-01-21T00:00:00Z","timestamp":1421798400000},"content-version":"vor","delay-in-days":0,"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":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Repair of rectovaginal fistula (\n                      <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>\n                      ) is associated with high recurrence. For this reason gracilis muscle interposition is increasingly being used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To evaluate the efficacy of this procedure for\n                      <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>\n                      repair.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method\/Search strategy<\/jats:title>\n                    <jats:p>\n                      A search of PubMed and Medline databases was performed in November 2013 using the text terms and\n                      <jats:styled-content style=\"fixed-case\">MESH<\/jats:styled-content>\n                      headings \u2018rectovaginal fistula\/fistulation\u2019, and \u2018gracilis muscle\u2019, spanning 1980\u20132013. The search strategy was restricted to articles written in English with available abstracts. Sample size, aetiology of\n                      <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>\n                      , previous repair attempts, follow\u2010up period, healing rates and complications were recorded and analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen studies involving 106 patients were analysed. The cause of\n                      <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>\n                      included inflammatory bowel disease (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a037 [34.9%]: Crohn's disease [34], ulcerative colitis [3]), pelvic surgery (37 [34.9%]), obstetric injury (9 [8.5%]), malignancy (7 [6.6%]), trauma (5 [4.7%]), miscellaneous (idiopathic, endometriosis, radiation: 11 [10.4%]). Patients had undergone a median number of two previous unsuccessful repairs. At a median follow\u2010up of 21\u00a0months, healing had occurred in 33\u2013100% (median 100%) with the largest studies reporting rates between 60% and 90%. Thirteen studies did not report any complications, with the remainder reporting only minor morbidity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Gracilis interposition appears to have a reasonable success rate for\n                      <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>\n                      repair with acceptable morbidity. It may be considered as one of the first\u2010line treatment options for recurrent\n                      <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.12791","type":"journal-article","created":{"date-parts":[[2014,10,5]],"date-time":"2014-10-05T08:33:49Z","timestamp":1412498029000},"page":"104-110","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Gracilis muscle interposition for rectovaginal and anovaginal fistula repair: a systematic literature review"],"prefix":"10.1111","volume":"17","author":[{"given":"A.","family":"Hotouras","sequence":"first","affiliation":[{"name":"Academic Surgical Unit Barts Health NHS Trust Queen Mary University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Ribas","sequence":"additional","affiliation":[{"name":"Department of Surgery Consorci Sanitari de Terrassa Terrassa Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Zakeri","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Whittington Health NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Academic Surgical Unit Barts Health NHS Trust Queen Mary University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Bhan","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Whittington Health NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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