PMC7436641_01
exposure of the different vulvo-perineal layers
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F1
When packing was removed, we discovered a complete tear at the level of the posterior vulva (Figure 1).
recto vaginal fistula
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F2
The external anal sphincter was intact (Figure 2).
exposure of torn rectal mucosa
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F3
The operating procedures consisted in: betadine swab of perineum and vagina, placement of a size 12 Hegar s dilator in the rectum, suturing of the rectal mucosa with absorbable vicryl No. 2/0 (Figure 3 and Figure 4), then a successive suture of the vaginal mucosa and of the cutaneous plane of the perineum with vicryl 0 (Figure 5).
repair of rectal mucosa
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F4
The operating procedures consisted in: betadine swab of perineum and vagina, placement of a size 12 Hegar s dilator in the rectum, suturing of the rectal mucosa with absorbable vicryl No. 2/0 (Figure 3 and Figure 4), then a successive suture of the vaginal mucosa and of the cutaneous plane of the perineum with vicryl 0 (Figure 5).
repair of the vaginal mucosa
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F5
The operating procedures consisted in: betadine swab of perineum and vagina, placement of a size 12 Hegar s dilator in the rectum, suturing of the rectal mucosa with absorbable vicryl No. 2/0 (Figure 3 and Figure 4), then a successive suture of the vaginal mucosa and of the cutaneous plane of the perineum with vicryl 0 (Figure 5).
end result after posterior colpo-perineorrhaphy
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F6
After satisfactory control of the hemostasis and checked for the solidity of the repair, we proceeded to a vaginal toileting (Figure 6).
complete healing on day 60 post operatory
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F7
Her appointments for clinical review after 1 week and two months post-operatory were uneventful and satisfactory (Figure 7).