| Title |
The Martius flap for repair of low rectovaginal fistula: a case report / |
| Another Title |
Rektovaginalinių fistulių gydymas naudojant Martius lopą: klinikinis atvejis. |
| Authors |
Danys, Donatas ; Samalavičius, Narimantas Evaldas ; Žaldokas, Gytis ; Smolskas, Edgaras |
| DOI |
10.15388/LietChirur.2014.3081 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2014, t. 13, Nr. 2, p. 118-122.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
Rectovaginal fistula ; The Martius flap |
| Abstract [eng] |
Background Rectovaginal fistula is defined as an epitheliumlined abnormal communication between the rectum and the vagina. It is reported to represent approximately 5% of all anorectal fistulas. The most common causes of rectovaginal fistulas are obstetric traumas, chronic inflammatory bowel diseases, low anterior rectal resection, hemorrhoid and pelvic surgery. There are many treatment options, such as endorectal, transvaginal or transperineal closure, resection of the affected part, treatment with autologous stem cells, seton drainage or graciloplasty. For low fistulas, the Martius flap is referred to as an excellent choice of tissue transfer with no functional and low cosmetic deficit of the donor site. Case report A patient was diagnosed with low rectal cancer and after neoadjuvantive chemoradiotherapy underwent anterior rectal resection. Preventive ileostomy was made. Later, due to the fluent postoperative progress, ileostomy closure was performed. In the postoperative period, a rectovaginal fistula occurred. Then, the patient was given adjuvantive chemotherapy. After that, graciloplasty for the rectovaginal fistula and ileostomy were performed. After two months, a rectovaginal fistula occurred again, and the Martius flap repair was performed. Conclusion The Martius flap technique using a fat pad flap is a decent choice for low rectovaginal fistulas. A well vascularised interposition flap between the vagina and the rectum gives good results. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2014 |
| CC license |
|
