Vesicovaginal Fistula Repair by Modified Martius Flap: A Step-by-Step Surgical Technique Video.
Journal
Annals of surgical oncology
ISSN: 1534-4681
Titre abrégé: Ann Surg Oncol
Pays: United States
ID NLM: 9420840
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
14
05
2020
accepted:
25
07
2020
pubmed:
17
8
2020
medline:
28
4
2021
entrez:
16
8
2020
Statut:
ppublish
Résumé
Fistula repair in the perineal region represents a major challenge for surgeons. It is important for the medical community to facilitate and disclose these techniques. The aim of this article was to show a stepwise approach for a direct repair and use of a Martius flap for a vesicovaginal fistula. We show a single case performed in a patient who presented with a vesicovaginal fistula diagnosed after surgery, which did not respond to conservative management. The procedure consists of the following steps: intraoperative cystoscopy, anatomical direct repair of the fistulous tract between the bladder and vagina, and modified Martius flap. Martius flap is a repair technique used for complex fistula in the perineal region. It is a simple, safe, and reproducible procedure with good long-term functional and esthetic results.
Sections du résumé
BACKGROUND
BACKGROUND
Fistula repair in the perineal region represents a major challenge for surgeons. It is important for the medical community to facilitate and disclose these techniques.
OBJECTIVE
OBJECTIVE
The aim of this article was to show a stepwise approach for a direct repair and use of a Martius flap for a vesicovaginal fistula.
METHODS
METHODS
We show a single case performed in a patient who presented with a vesicovaginal fistula diagnosed after surgery, which did not respond to conservative management. The procedure consists of the following steps: intraoperative cystoscopy, anatomical direct repair of the fistulous tract between the bladder and vagina, and modified Martius flap.
CONCLUSIONS
CONCLUSIONS
Martius flap is a repair technique used for complex fistula in the perineal region. It is a simple, safe, and reproducible procedure with good long-term functional and esthetic results.
Identifiants
pubmed: 32797377
doi: 10.1245/s10434-020-09020-5
pii: 10.1245/s10434-020-09020-5
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
1002-1006Références
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