• sunaina chouhan solanki
• DR HEMANT TOSHIKHANE
• DR HARISH DAGA

Anovaginal fistulas (AVFs) and Low rectovaginal fistulas (RVFs) most frequently result from obstetric trauma, especially in resource-limited countries where prolonged obstructed labor can lead to pressure necrosis of the rectovaginal septum.Childbirth(OBSTETRIC) trauma is the cause of RVF in 88 % . The patient suffers from spontaneous flatus, mucus, and/or fecal leakage, eventually recurrent vaginitis. Diagnosis of RVF is usually based on a Thorough history of examined patient Colonoscopy examination is recommended for each patient with AVF. C.T. Scan or Magnetic Resonance Imaging (M.R.I.)of the Pelvis is indicated if debatable results of examinations and ambiguous history are taken. The Endorectal ultrasound and Anorectal Manometry help us to check the functional status of the anal sphincter.When RVF is persistent or recurrent, the surrounding tissue is always scarred or damaged, so the interposition of a healthy and well-perfused tissue is an appropriate approach to fistula management. The Endorectal Advancement Flap is the most frequent procedure used to treat AVFs with a success rate with big differences. If anal sphincter reconstruction is added, the result of an operation is better.The Modified Martius procedure using adipose tissue from the labia major places well-vascularized pedicle in the place of the RVF.

rectovaginal, fistulotomy, , flap , Martius procedure, obstetric,perineal tear

"MANAGEMENT OF ANO-VAGINAL FISTULA (AVF) OF OBSTETRIC ORIGIN: A CASE STUDY AND SURGICAL INTERVENTION", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 6, page no.a843-a848, June-2024, Available :http://www.jetir.org/papers/JETIR2406100.pdf

"MANAGEMENT OF ANO-VAGINAL FISTULA (AVF) OF OBSTETRIC ORIGIN: A CASE STUDY AND SURGICAL INTERVENTION", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 6, page no. ppa843-a848, June-2024, Available at : http://www.jetir.org/papers/JETIR2406100.pdf