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Endorectal advancement flap for the treatment of a rectovaginal fistula – a video vignette

The management of rectovaginal fistula involves a diversity of interventions and the operative technique often has to be individualized (1-3). The endorectal advancement flap can be considered a good alternative for the treatment of simple or recurrent rectovaginal fistulae, with or without a sphincteroplasty. Its use may depend on the continence of the patient (1,3). The success rate in the literature ranges from 41% to 78% (3). The procedure consists of the use of a flap of rectal wall to cover the defect in the rectovaginal septum.