What question did this study set out to answer?

To assess the feasibility of a fully transanal endoscopic approach for managing large high rectovaginal fistulas.

March 1, 2026

A fully transanal endoscopic approach for large post-anastomotic high rectovaginal fistulas: An IDEAL stage 1 technical note.

Key Points

To assess the feasibility of a fully transanal endoscopic approach for managing large high rectovaginal fistulas.
Utilized a fully transanal endoscopic technique
Selected cases of large and high rectovaginal fistulas
Avoided transabdominal surgical access
Demonstrated feasibility of the technique
Proposed a valuable option to reduce surgical morbidity
Indicated further evaluation in larger patient series is needed.

Abstract

This technical note demonstrates the feasibility of a fully transanal endoscopic approach for selected large and high rectovaginal fistulas. By avoiding transabdominal access, this organ-preserving technique may represent a valuable option in experienced centres for patients in whom conventional approaches are associated with high morbidity. Further evaluation in larger series is warranted.

A fully transanal endoscopic approach for large post-anastomotic high rectovaginal fistulas: An IDEAL stage 1 technical note.

Key Points

Abstract

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