with Dr. Mario Trompetto
The primary topic discussed during this session is the diagnosis and treatment of rectovaginal fistulas. This is a complex topic for those who are afflicted with such fistulas as it usually implies secondary effects that impact their social, sexual, and work life.
We must bear in mind that rectovaginal fistulas are not a disease, they are always categorized as a complication because it’s a condition that usually appears after an operation such as stapler anastomosis or gland removal.
Some questions arise in connection to the relationship between rectovaginal fistulas and Crohn's disease. There are cases where it would seem Crohn's disease was the cause of these fistulas, but where it can’t be confirmed for sure.
During the session, the different methods to treat rectovaginal fistulas are discussed, as are the approach variations possible during these surgeries. Also, there is some importance placed on which kind of suture the doctor prefers to use. As the session concludes, many surgeons have questions about stoma and how that can be managed during the procedure.
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