Start the procedure by inserting the rectal retractor and probing the rectovaginal fistula. In the video it connects the rectum with the lower third of the vaginal tube. Percutaneous injection of normal NaCl solution will facilitate the dissection. Follow this by opening up the perineum with a slightly curved incision with the needle-tip electrocautery. Transect the subcutaneous tissue and then install the Lone Star Retractor System™.
-
Probing the fistula, saline injection and transverse perineal incision
![Probing the fistula, saline injection and transverse perineal incision]()
Soundsettings
Dissecting the rectovaginal space and exposing the external sphincter and puborectalis
Dissecting the rectovaginal space and exposing the external sphincter and puborectalis by carrying
Dissecting the rectovaginal space and exposing the external sphincter and puborectalis by carrying
Activate now and continue learning straight away.
Single Access
Activation of this course for 3 days.
US$9.30
inclusive VAT
Most popular offer
webop - Savings Flex
Combine our learning modules flexibly and save up to 50%.
from US$7.25 / module
US$87.02/ yearly payment
general and visceral surgery
Unlock all courses in this module.
US$14.50
/ month
US$174.10 / yearly payment