Treatment of radiation-induced rectovaginsl fistula

Rectovaginal fistulas are the most popular complications of radiation therapy for the underlying disease (cancer of the female genital organs). Purpose of research: to analyze modern methods of treating radiovascular rectovaginal fistulas, to evaluate their effectiveness. Material and methods: the object of the study is the patient and radiation rectovaginal fistulas that have emerged as complications of radiation therapy for the underlying disease (cancer of the female genital organs). Methods used: analysis of literary sources, publications, review of used treatment methods, analysis of statistical data, analysis of history and results of treatment, generalization, systematization, classification of literature data. Results: the main method for treating PBC is a surgical method. For complex rectovaginal fistulas (which include radiation fistulas), fistuloplasty, various types of fistula repair using skin grafts, and microinjections of autologous adipose tissue are used. Often, prior training in the form of a colostomy is required. Conclution: despite the fact that more than 100 methods of surgical intervention for rectovaginal fistulas have been developed, a single approach to the selection of the optimal method of operations has not yet been developed. Treatment is still accompanied by a large number of recurrences of the disease, numerous complications. Therefore, the search for new effective treatments for PBC still does not lose its relevance.