The use of viable cryopreserved placental tissue in the management of a chronic rectovaginal fistula

Abstract

We present a case of a chronic recurrent rectovaginal fistula that initially arose from complications of haemorrhoid surgery and had failed multiple prior surgical repairs. The fistula was successfully managed using viable cryopreserved placental tissue.

Keywords: Fistula; Perianal; Rectovaginal.

Figures

Figure 1

The fistula was identified using a fistula probe.

Figure 2

A 2 cm × 4 cm viable cryopreserved placental tissue sheet was placed over the mucosa of the anus and secured with 5-0 nylon.

Figure 3

The muscle was overlapped using three horizontal mattress stitches with 2-0 Prolene sutures.

Figure 4

An additional piece of viable cryopreserved placental tissue was placed on the inner vaginal mucosal side.

Figure 5

The wound was irrigated and closed in layers using interrupted 3-0 Vicryl.

Figure 6

The wound breakdown was managed with alginate packing for four weeks.