Abstract: Flap Reconstruction of Rectovaginal and Rectourethral Fistulas: A 20-Year Experience at Mayo Clinic
نویسندگان
چکیده
RESULTS: Fourteen patients were identified. Median operating time for the PTO flap was 49 min. There were no cases of flap loss, donor site morbidity or major wound complications. Superficial skin dehiscence and perineal hernia formation were reported in 2 patients respectively. None of the patients developed chronic perineal pain. All patients reported excellent satisfaction with the aesthetic outcome.
منابع مشابه
German S3-Guideline: Rectovaginal fistula
BACKGROUND Rectovaginal fistulas are rare, and the majority is of traumatic origin. The most common causes are obstetric trauma, local infection, and rectal surgery. This guideline does not cover rectovaginal fistulas that are caused by chronic inflammatory bowel disease. METHODS A systematic review of the literature was undertaken. RESULTS Rectovaginal fistula is diagnosed on the basis of ...
متن کاملGracilis muscle transposition for fistulas between the rectum and urethra or vagina.
PURPOSE This study was designed to assess the efficacy of gracilis muscle transposition in repairing rectovaginal and rectourethral fistulas. METHODS Data were retrieved from a retrospective chart review of patients who underwent gracilis muscle transposition for fistulas between the rectum and urethra/vagina. All patients had fecal diversion as a preliminary or concurrent step to fistula rep...
متن کاملReconstructive Surgery
Introduction: We evaluated the efficacy and safety of repair of the rectourethral and rectovaginal fistulas with transanal approach using the Latzko technique. Materials and Methods: We repaired 8 fistulas with transanal approach. Fistulas were rectourethral in 5 patients, and in the only woman of the series, they were rectovaginal and vesicovaginal. In 3 patients, The fistulas had been diagnos...
متن کاملEndoscopic Harvest of Gracilis Muscle Flap for Reconstruction of Rectovaginal Fistula
Intractable rectovaginal fistula (RVF) is a troublesome complication after treatment of perineal cancers or infection. Complex fistulas which are larger than 2.5 cm in diameter or the recurrent cases may be repaired with abdominal procedure or tissue transposition. Gracilis muscle flap is widely used in various reconstruction in regarding to the donor site deformity and bacterial resistance. En...
متن کاملBREAST RECONSTRUCTION USING TRAM FLAP: PROSPECTIVE OUTCOME AND COMPLICATIONS
ABSTRACT Background: The transverse rectus abdominis musculocutaneous (TRAM) flap remains the gold standard for postmastectomy reconstruction either immediate or delayed. However, transfer of TRAM flap can be associated with donor site morbidities and complications in flap. A successful reconstruction consists of careful patient selection, surgical technique and meticulous preoperative plannin...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 5 شماره
صفحات -
تاریخ انتشار 2017