Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula

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...

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Autores principales: Khalil, Haitham H., Malahias, Marco N., Karandikar, Sharad, Hendrickse, Charles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Ideas and Innovations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010332/
https://www.ncbi.nlm.nih.gov/pubmed/27622109
http://dx.doi.org/10.1097/GOX.0000000000000850
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author Khalil, Haitham H.
Malahias, Marco N.
Karandikar, Sharad
Hendrickse, Charles
author_facet Khalil, Haitham H.
Malahias, Marco N.
Karandikar, Sharad
Hendrickse, Charles
author_sort Khalil, Haitham H.
collection PubMed
description 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.
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spelling pubmed-50103322016-09-12 Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula Khalil, Haitham H. Malahias, Marco N. Karandikar, Sharad Hendrickse, Charles Plast Reconstr Surg Glob Open Ideas and Innovations 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. Wolters Kluwer Health 2016-08-10 /pmc/articles/PMC5010332/ /pubmed/27622109 http://dx.doi.org/10.1097/GOX.0000000000000850 Text en Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Ideas and Innovations
Khalil, Haitham H.
Malahias, Marco N.
Karandikar, Sharad
Hendrickse, Charles
Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
title Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
title_full Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
title_fullStr Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
title_full_unstemmed Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
title_short Internal Pudendal Artery Perforator Island Flap for Management of Recurrent Benign Rectovaginal Fistula
title_sort internal pudendal artery perforator island flap for management of recurrent benign rectovaginal fistula
topic Ideas and Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010332/
https://www.ncbi.nlm.nih.gov/pubmed/27622109
http://dx.doi.org/10.1097/GOX.0000000000000850
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