{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T07:47:46Z","timestamp":1696405666181},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"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":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Several procedures have been described for rectovaginal fistula with a wide range of success, but there is little information on the long\u2010term outcome. The aim of the present study was to investigate the long\u2010term outcome after transvaginal anterior levatorplasty (<jats:styled-content style=\"fixed-case\">ALP<\/jats:styled-content>) for intractable rectovaginal fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data of 16 consecutive patients undergoing transvaginal <jats:styled-content style=\"fixed-case\">ALP<\/jats:styled-content> with fistulectomy and closure of the rectum and vagina between 1998 and 2011 were prospectively recorded and retrospectively investigated to study the long\u2010term outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Birth injury (<jats:italic>n\u00a0=\u00a0<\/jats:italic>7), low anterior resection for rectal cancer (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>3), pouch surgery for ulcerative colitis (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>2) and a procedure for prolapse and haemorrhoids (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>2) were the main causes of the fistula. Nine patients had a covering stoma before surgery. All patients underwent <jats:styled-content style=\"fixed-case\">ALP<\/jats:styled-content>, with a covering stoma in two patients. Infection occurred in one patient and wound rupture after surgery in another patient. These patients underwent reoperation by <jats:styled-content style=\"fixed-case\">ALP<\/jats:styled-content>. All fistulae had healed at a median follow\u2010up of 84 (8\u2013193) months after initial surgery or stoma closure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transvaginal <jats:styled-content style=\"fixed-case\">ALP<\/jats:styled-content> is effective for the treatment of mid or low rectovaginal fistula. The results show that a graft is not necessary regardless of whether or not previous surgery has been performed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12977","type":"journal-article","created":{"date-parts":[[2015,4,17]],"date-time":"2015-04-17T18:00:26Z","timestamp":1429293626000},"page":"1002-1006","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The long\u2010term outcome of transvaginal anterior levatorplasty for intractable rectovaginal fistula"],"prefix":"10.1111","volume":"17","author":[{"given":"K.","family":"Maeda","sequence":"first","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Koide","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine Toyoake Aichi 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