TY - JOUR T1 - Evaluating surgical management and outcomes of colovaginal fistulas. AU - Wen,Yuxiang, AU - Althans,Alison R, AU - Brady,Justin T, AU - Dosokey,Eslam M G, AU - Choi,Dongjin, AU - Nishtala,Madhuri, AU - Delaney,Conor P, AU - Steele,Scott R, Y1 - 2016/11/14/ PY - 2016/07/25/received PY - 2016/09/02/revised PY - 2016/11/05/accepted PY - 2016/11/28/pubmed PY - 2017/4/18/medline PY - 2016/11/28/entrez KW - Colovaginal KW - Diverticulitis KW - Fistula KW - Laparoscopy SP - 553 EP - 557 JF - American journal of surgery JO - Am J Surg VL - 213 IS - 3 N2 - BACKGROUND: Colovaginal fistula is a rare condition associated with significant morbidity. The literature characterizing colovaginal fistula repair is sparse. We present our institution's experience treating colovaginal fistulas. METHODS: A retrospective review of all patients surgically treated for colovaginal fistula between 2005 and 2015 was performed. Patient demographics, intra-operative details, and post-operative outcomes were reviewed. RESULTS: We identified 27 patients with a mean age of 71 (±13) and BMI of 30 (±9). The most common etiology for fistula was diverticulitis (n = 24, 89%). A laparoscopic approach was initiated in 19 patients (70%) and an open approach for 8 (30%) with 8 patients converted from laparoscopy to open (42%). At a mean follow-up of 18 months (±21), there were no recurrences. CONCLUSION: We present one of the largest series of the surgical management of colovaginal fistulas. Although our conversion rate was high, we recommend a laparoscopic approach be utilized when feasible. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/27889268/Evaluating_surgical_management_and_outcomes_of_colovaginal_fistulas_ DB - PRIME DP - Unbound Medicine ER -