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Doctor insights on: Repair Of Rectovaginal Fistula

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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Symptoms of a scrotal anal fistula?

Symptoms of a scrotal anal fistula?

You may: Mean fissure. A fistula going from the rectum to the scrotum would be life threatening. A fissure creates severe pain and is like a crack in the skin. If concerned about either you need to get seen. ...Read more

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What is advantage of laporascopic repair of inguinal hernia?

What is advantage of laporascopic repair of inguinal hernia?

Laparoscopic hernia: I perform both open and laparoscopic hernias, but would have it done laparoscopically if I had a hernia. The lap hernia has a smaller scar, less pain, quicker recovery time, allows you to look at the opposite side for a hernia (and repair it if found) and the same recurrence rate as open inguinal hernia repairs. ...Read more

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Besides a larger incision site what is the difference between open hernia repair and laparscopic hernia repair?

Besides a larger incision site what is the difference between open hernia repair and laparscopic  hernia repair?

Lap is from behind.: The open approach is an anterior approach or one that repairs the hernia through the skin incision above the hernia. The laparoscopic repair is a posterior approach to the hernia . This technique from behind the hernia inlapherently has the advantage of a wider overlap of patch material which yields a lower recurrence rate in many cases. ...Read more

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How long does a surgical repair of a hernia & anal rectal prolapse take?

How long does a surgical repair of a hernia & anal rectal prolapse take?

Variable: Depends on the type and severity of the hernia. These vary widely in terms of complexity, thus an accurate answer is not possible with limited info. Call your surgeon o find out. You may need two surgeons with different areas of expertise - one for the hernia and one for the rectal prolapse. Hope this helps! ...Read more

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What are the biggest complications of having a ileal anal pouch operation (internal pouch) for a woman?

What are the biggest complications of having a ileal anal pouch operation (internal pouch) for a woman?

Most common: Problems are pouchitis, frequency, control issues, obstruction, dehydration. Delivery if in the reproductive ages, should probably be by c section in most cases. ...Read more

Dr. Mark Pack Dr. Pack
9 doctors agreed:
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What the difference between anal fissure and anal fistula?

Dr. Mark Pack Dr. Pack
9 doctors agreed:
What the difference between anal fissure and anal fistula?

Tear / tract: A fissure is s a tear in the anal mucosa. A fistula is a tunnel deeper in the tissues with one opening on the outside and another opening on the inside of the anal canal or lower rectum. ...Read more

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What's the outcome of rectal prolapse?

What's the outcome of rectal prolapse?

Variable: Variable. From not significant to serious complications, dependent upon degree.Can be minimal or minor requiring no treatment. Many procedures available to treat, from minor surgery to major surgery, with varying results. Complex question requiring consultation with colorectal specialist. ...Read more

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What is the difference between anal fissure/ fistula and a hemorrhoid?

What is the difference between anal fissure/ fistula and a hemorrhoid?

Different problems: An anal fissure is a tear in the lining of the anal canal causing pain and bleeding. An anal fistula is a tunnel from inside the anal canal out to the perianal skin. It may cause drainage, pain and swelling. There are internal hemorrhoids which may prolapse and cause bleeding, discomfort and itching, and external hemorrhoids which may cause pain or difficulty with cleaning. ...Read more

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What's the difference between a colon fissure and colon fistula?

What's the difference between a colon fissure and colon fistula?

Tear vs tunnel!: Anal fissure is a very painful tear of the sensitive anal lining, while a fistula is an infected tunnel that connects inside with outside. Often a fissure will heal without surgery, while a fistula usually won't, but get checked if you think you have either if these painful anorectal problems. ...Read more

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What is the recovery time for surgery (with a seton) on an anorectal abscess & fistula?

What is the recovery time for surgery (with a seton) on an anorectal abscess & fistula?

Seton takes time: to cut through , may take 8 Wks or little more , is very good technique , less chance of recurrence , and flatus incontinence ...Read more

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What is laparoscopic enterocele repair?

What is laparoscopic enterocele repair?

Repair: Enterocele is when the small bowel dips down into the pelvis and may prolapse out the vagina or other opening. Laparoscopic techniques involve minimally invasively (with small incisions and a camera) going in to fix the problem. It sometimes is associated with the repair of prolapse of other organs, and may involve the use of mesh. ...Read more

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...Read more

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What is the distinction between anal fissure/fistula and hemorrhoid?

What is the distinction between anal fissure/fistula and hemorrhoid?

All different: An anal fissure is a small tear in the mucosa that lines the anus. An anal fistula is tract between the anal canal and the skin. A hemorrhoid is a 'varicose (dilated) vein" of the anal canal. ...Read more

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Is gastrointestinal fistula a complication of abdominal surgery?

Is gastrointestinal fistula a complication of abdominal surgery?

Can be: Gastrointestinal fistulas can be a complication of intrabdominal surgery. They can also be due to other causes such as inflammatory bowel disease, cancer, radiation, etc. ...Read more

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