Double-Sided Folded Internal Pudendal Artery Perforator Flap for the Repair of a Recurrent Rectovaginal Fistula.

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Double-Sided Folded Internal Pudendal Artery Perforator Flap for the Repair of a Recurrent Rectovaginal Fistula.

Arch Plast Surg. 2017 Oct 27;:

Authors: Lee SG, Lee YS, Song SY, Lee WJ, Lee DW

Abstract
Rectovaginal fistula (RVF) is not common, but represents a challenge to both patients and surgeons. Various surgical techniques have been introduced for repair of RVF, such as local flap rearrangement, muscle transposition, or the use of an artificial mesh. Despite these treatments, recurrence of RVF has been frequently reported. This report presents the case of a 53-year-old woman who suffered from a recurrent RVF that first developed 32 years ago, 2 years after a vaginal delivery with an episiotomy. A satisfactory good result was achieved following a method using a double-sided folded internal pudendal artery perforator flap. We concluded that the transfer of a well-vascular perfused folded internal pudendal artery perforator flap may be a safe and reliable method to repair a recurrent RVF.

PMID: 29076322 [PubMed - as supplied by publisher]