Table 3.
Included studies focused solely on ano/rectovaginal fistulas after the PICO search
| Title | Authors, year | Study design | Years | Patients | Flap type | Assessment | Follow-up | Follow-up time | Success rate | Failure rate | Other result |
|---|---|---|---|---|---|---|---|---|---|---|---|
| “What are the outcomes in patients referred to a tertiary referral center for Crohn’s rectovaginal fistula surgery?” | Sapci et al. [18] | Retrospective | 2010–2020 | 20 pts with CD; AF on 7 pts with CD (RVF) | Semicircular AF | EUA with sigmoidoscopy | Clinical healing (no symptoms > 6 months and/or stoma closure) | Median 33 months (6–130 months) | 85% (6/7) | Not specified | |
| “Surgical intervention is effective for the treatment of Crohn’s-related rectovaginal fistulas: experience from a tertiary inflammatory bowel disease practice” | Otero-Pinero et al. [14] | Retrospective | 1995–2021 | 166 patients with CD; AF on 86 pts with CD (RVF) | RAF or TVAF | Not specified | Not specified | Median 6 years (1–10 years) | RAF 32% (22/68), TVAF 40% (6/15) | RAF 68% (46/68), TVAF 60% (9/15) | Overall success rate 72% (119/166) with multiple surgical interventions |
CD, Crohn’s disease; AF, advancement flap; RVF, rectovaginal fistula; RAF, rectal advancement flap; TVAF, transvaginal advancement flap; EUA, examination under anesthesia; pts, patients