Abstract
Objective: To report and discuss the causes and management of rectovaginal fistula in post repair chronic total perineal rupture. Methods: A case report, a 29-year-old female patient who came to Fatmawati General Hospital with complaints of anal incontinence 9 days after repair chronic total perineal rupture. Rectovaginal examination revealed a rectovaginal fistula 2 mm in diameter at 1.5 cm proximal to the hymenal ring. Discussion: Rectovaginal fistula is one of the complications after repair of hronic total perineal rupture which disturbs the quality of life of women. The patient was diagnosed with a rectovaginal fistula in post repair chronic total perineal rupture. Conservative management with wound care and administration of honey to the patient showed improved postoperative outcome. Conclusions: Anatomical identification of the anal sphincter complex, surgical technique and postoperative care are important in preventing complications following repair of chronic total perineal rupture repair.
Original language | English |
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Pages (from-to) | 219-222 |
Number of pages | 4 |
Journal | Indonesian Journal of Obstetrics and Gynecology |
Volume | 9 |
Issue number | 4 |
DOIs | |
Publication status | Published - Oct 2021 |
Externally published | Yes |
Keywords
- obstetrics sphincter anal injury
- postrepair chronic
- rectovaginal fistulae