Episiotomy: Risks of Dehiscence and Rectovaginal Fistula

Overview

Journal Obstet Gynecol Surv

Specialty Gynecology & Obstetrics

Date 1994 Dec 1

PMID 7885655

Citations 23

Authors

R Homsi

N H Daikoku

J LITTLEJOHN

C R Wheeless Jr

Affiliations

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Abstract

The obstetric literature was reviewed to assess the risk of episiotomy dehiscence and rectovaginal fistula formation from routine episiotomy, with and without third- and fourth-degree laceration into the rectal sphincter or rectal mucosa, respectively. Strong evidence suggests that elective episiotomy predisposes to severe 3rd and 4th degree perineal lacerations and that episiotomy dehiscence with rectovaginal fistula formation is strongly related to 3rd and 4th degree perineal lacerations.

Citing Articles

Rectovaginal Fistulas Not Involving the Rectovaginal Septum Should Be Treated Like Anal Fistulas: A New Concept and Proposal for a Reclassification of Rectovaginal Fistulas.

Garg P, Ladukar L, Yagnik V, Bhattacharya K, Kaur G Clin Exp Gastroenterol. 2024; 17:97-108.

PMID: 38646156 PMC: 11032160. DOI: 10.2147/CEG.S456855.

Perioperative Factors Affecting the Healing of Rectovaginal Fistula.

Satora M, Zak K, Frankowska K, Misiek M, Tarkowski R, Bobinski M J Clin Med. 2023; 12(19).

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Predictors of outcome for treatment of enterovaginal fistula : Therapeutical strategies for treatment.

Drefs M, Schomer Cuenca S, Wirth U, Kuhn F, Burian M, Werner J Int J Colorectal Dis. 2023; 38(1):187.

PMID: 37420132 PMC: 10329052. DOI: 10.1007/s00384-023-04453-2.

Treatment of Rectovaginal Fistula.

Maeda K, Wada N, Shida A J Anus Rectum Colon. 2023; 7(2):52-62.

PMID: 37113583 PMC: 10129357. DOI: 10.23922/jarc.2023-007.

Surgical treatment of rectovaginal fistula-predictors of outcome and effects on quality of life.

Soderqvist E, Cashin P, Graf W Int J Colorectal Dis. 2022; 37(7):1699-1707.

PMID: 35779081 PMC: 9262790. DOI: 10.1007/s00384-022-04206-7.