Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
نویسندگان
چکیده
The management of recurrent rectovaginal fistula after obstetric injury and cryptoglandular sepsis is considered a major surgical challenge. The fistula poses a significant negative psychosocial and sexual morbidity. In addition, the poor quality of local tissues due to previous attempts at surgical repair adds to this challenge. There are few data regarding the management of persistent or recurrent fistula in the literature; however, several studies reported high failure rates after 2 or more procedures. We present 4 cases managed successfully in a multidisciplinary approach involving fistulectomy and immediate reconstruction with an internal pudendal artery perforator island flap.
منابع مشابه
Double-sided folded internal pudendal artery perforator flap for the repair of a recurrent rectovaginal fistula
1. Schulman MR, Chun JK. The conjoined sternalispectoralis muscle flap in immediate tissue expander reconstruction after mastectomy. Ann Plast Surg 2005;55:672-5. 2. Barlow RN. The sternalis muscle in American whites and Negroes. Anat Rec 1934;61:416-26. 3. Alani HA, Balalaa N. Complete tissue expander coverage by musculo-fascial flaps in immediate breast mound reconstruction after mastectomy. ...
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