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Annals of surgical oncology
Feb, 2021;28 (2): 1002-1006.

Vesicovaginal Fistula Repair by Modified Martius Flap: A Step-by-Step Surgical Technique Video.

Tiermes Marina, Víctor Lago, Pablo Padilla, Luis Matute, Santiago Domingo
Author Information
  1. Tiermes Marina: Department of Gynecologic Oncology, University Hospital La Fe, Valencia, Spain. tiermesm@gmail.com. ORCID
  2. Víctor Lago: Department of Gynecologic Oncology, University Hospital La Fe, Valencia, Spain.
  3. Pablo Padilla: Department of Gynecologic Oncology, University Hospital La Fe, Valencia, Spain.
  4. Luis Matute: Department of Gynecologic Oncology, University Hospital La Fe, Valencia, Spain.
  5. Santiago Domingo: Department of Gynecologic Oncology, University Hospital La Fe, Valencia, Spain.
PMID: 32797377 DOI: 10.1245/s10434-020-09020-5

Abstract

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: 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: 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: 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.

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MeSH Term

Cystoscopy
Female
Humans
Surgical Flaps
Vesicovaginal Fistula
Journal Article Video-Audio Media

Word Cloud

Created with Highcharts 10.0.0repairMartiusflapfistulaFistulaperinealregionshowdirectvesicovaginalprocedureBACKGROUND:representsmajorchallengesurgeonsimportantmedicalcommunityfacilitatedisclosetechniquesOBJECTIVE:aimarticlestepwiseapproachuseMETHODS:singlecaseperformedpatientpresenteddiagnosedsurgeryrespondconservativemanagementconsistsfollowingsteps:intraoperativecystoscopyanatomicalfistuloustractbladdervaginamodifiedCONCLUSIONS:techniqueusedcomplexsimplesafereproduciblegoodlong-termfunctionalestheticresultsVesicovaginalRepairModifiedFlap:Step-by-StepSurgicalTechniqueVideo

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