Timothy F Tirrell, MD, PhD
Timothy F Tirrell, MD, PhD; Prathima Nandivada, MD; Alex G Cuenca, MD, PhD; Farokh R Demehri, MD; Erin R McNamara, MD, MPH; Jill M Zalieckas, MD, MPH; Belinda H Dickie, MD, PhD; Boston Children's Hospital
Congenital rectovaginal fistula is a rare type of anorectal malformation. Laparoscopy has been used in rectal mobilization for other anorectal malformations but its use in repair of rectovaginal fistulas is not broadly reported.
We have utilized laparoscopy in repair of several rectovaginal fistulas and present a case highlighting its advantages. Rectal mobilization and division of the common rectovaginal wall were performed laparoscopically. The motility gained by laparoscopic dissection of abdominal structures enabled a more limited perineal incision than usual, and sparing of the perineal body.