Rectovaginal Fistula Complicating Stapled Hemorrhoidectomy

ABSTRACT

There are few reports on major complications after stapled hemorrhoidectomy, because it recently has been introduced to treat hemorrhoids and rectal mucosal prolapse. This presentation is a case of rectovaginal fistula that developed four days after stapled hemorrhoidectomy which was performed at another clinic. In this case, a relatively simple local repair with layered closure via a transanal approach was used. It worked well and satisfied the patient, while relieving her unpleasant, distressing symptoms. In my opinion, early surgical repair of a relatively large postoperative rectovaginal fistula is valid.