Ch. Nezhat et al., LAPAROSCOPIC TREATMENT OF TYPE-IV RECTOVAGINAL FISTULA, The Journal of the American Association of Gynecologic Laparoscopists, 5(3), 1998, pp. 297-299
Fistulas between the anorectum and vagina may arise from several cause
s. Treatment depends on their etiology and location, as well as the su
rgeon's experience. Operative laparoscopy was successful in two women
with type IV (mid)rectovaginal fistula in whom previous surgical attem
pts failed. Our experience suggests that mid and high rectovaginal fis
tulas can be effectively treated by laparoscopy in the hands oi experi
enced endoscopic surgeons.