Ano-rectovaginal fistula after obstetrical anal sphincter injury: Diverting stoma does not improve the surgical results.
Aurélien VenaraBertrand TrillingMarie NgomaCharlène BrochardEmilie DuchalaisLaurent SiproudhisJean-Luc FaucheronVincent de ParadesArnaud AlvesEddy CotteMehdi OuaissiValérie BridouxLisa CorbièreJeanne HeraudPablo Ortega-DeballonFawaz Abo-AlhassanJean-Francois HamelPublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2022)
A diverting stoma is not mandatory in the management of ARVF due to OASIS to improve the success of the surgical procedure. While the Martius flap procedure offers better results, the ERAF procedure may be preferred as a primary intervention in the absence of sphincter injury as it is less invasive. In cases of residual sphincter injury, the Musset procedure is most likely to be the best option.