{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T09:37:46Z","timestamp":1772012266623,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T00:00:00Z","timestamp":1454371200000},"content-version":"vor","delay-in-days":1,"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":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Many surgical techniques are available for the treatment of rectovaginal fistula (<jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>). There is hitherto little information on its treatment by biological mesh interposition. The aim of the present study was to analyse our results of <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> treatment using biological mesh interposition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients with <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> undergoing biological mesh interposition were identified. Success was defined by the absence of a diverting stoma and\/or any vaginal discharge of faeces, flatus or mucous discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten women [median age 39 (24.5\u201365) years] were included. Nine (90%) had recurrent <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content>, and the median number of previous attempts at closure was 2.5 (0\u22128). The main cause of <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> was Crohn's disease (40%). All patients had faecal diversion. No intra\u2010operative complications occurred from mesh interposition. Seven (70%) patients developed postoperative morbidity which was major (Dindo <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>) in two (20%). The primary success rate was 20% (2\/10) but final success rate was achieved in 70% after reoperation with other procedures at 11.1 (2.7\u221213.1) months of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study has shown disappointing results with biological mesh interposition for <jats:styled-content style=\"fixed-case\">RVF<\/jats:styled-content> with a healing rate lower than achieved by gracilis muscle interposition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13242","type":"journal-article","created":{"date-parts":[[2015,12,19]],"date-time":"2015-12-19T02:44:58Z","timestamp":1450493098000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Is biological mesh interposition a valid option for complex or recurrent rectovaginal fistula?"],"prefix":"10.1111","volume":"18","author":[{"given":"D.","family":"Mege","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Frasson","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Maggiori","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Panis","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Beaujon Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris VII Clichy France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31817d077d"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6661"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9339-8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001461"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.4291\/wjgp.v5.i4.487"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181a74700"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02544.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920050069"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000128116.52051.10"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0613-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0619-x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2240-6"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2701-1"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-009-0470-x"},{"key":"e_1_2_7_16_1","first-page":"817","article-title":"Rectovaginal fistula: a new technique and preliminary results using collagen matrix biomesh","volume":"18","author":"G\u00f6ttgens KWA","year":"2014","journal-title":"Tech Coloproctol"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.04.024"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181e536cb"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13242","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T14:20:55Z","timestamp":1696342855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1111\/codi.13242"],"URL":"https:\/\/doi.org\/10.1111\/codi.13242","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2]]},"assertion":[{"value":"2015-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-10-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}