BACKGROUND: Recurrent @entity3622 (RRVFs) pose a challenging problem, which can be treated by different surgical procedures. We performed this study to determine the ultimate success rate of various repair techniques. METHODS: Using a standard data collection form, we retrospectively reviewed charts of @entity1 treated for RRVF. RESULTS: Between 1991 and 2000, 57 procedures were performed in 35 @entity1 who presented with RRVF. Median follow-up was 4 months (interquartile range, 1,25). The causes of RRVF included @entity130 (n = 15), @entity30 (n = 12), @entity292 occurring after proctocolectomy with ileal pouch-anal @entity254 (for @entity31 , n = 3; indeterminate @entity1960 , n = 1; @entity1412 , n = 1), cryptoglandular disease (n = 2), and @entity292 occurring immediately after low anterior resection for @entity5 (n = 1). The methods of repair used included mucosal advancement flap (n = 30), fistulotomy with overlapping sphincter repair (n = 14), @entity1442 (n = 3), fibrin glue (n = 1), proctectomy with colonic pull-through (n = 2), and ileal pouch revision (n = 6). Twenty-seven of 34 (79%) @entity1 with adequate follow-up eventually healed after a median of 2 operations. Logistic regression was used to analyze outcome according to etiology of @entity292 , @entity1 age, number of prior repairs, time interval between last repair and current repair, and presence of fecal diversion. @entity30 , the presence of a diverting stoma, and decreased time interval since prior repair were associated with a poorer outcome. CONCLUSIONS: Most RRVFs can be successfully repaired, although repeated operations may be necessary. Delaying repair may improve outcome.

Repair of recurrent XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['rectal cancer'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity31 :: ('MESH:D003093', 'Disease') :: ['ulcerative colitis'] @entity3622 :: ('MESH:D012006', 'Disease') :: ['rectovaginal fistulas'] @entity1960 :: ('MESH:D003092', 'Disease') :: ['colitis'] @entity1442 :: ('MESH:D020178', 'Disease') :: ['rectal sleeve advancement'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity1412 :: ('MESH:D011125', 'Disease') :: ['familial polyposis'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"] @entity130 :: ('MESH:D014947', 'Disease') :: ['obstetrical injury']
@entity3622 :: (MESH:D012006,Disease) :: ['rectovaginal fistulas']
