Treatment of persistent perineal sinus with vaginal fistula following proctocolectomy for Crohn's disease.
The utilization of a myocutaneous flap based on the gracilis muscle is described in two patients who had a persistent perineal sinus following proctocolectomy for Crohn's disease. In each case the posterior vaginal wall had eroded to form a fistula. This flap provided a cutaneous surface with good sensation to replace the posterior vaginal wall and tissue bulk to fill the excised cavity. A good functional result was obtained in each patient. This technique provides a useful contribution to the management of this unusual complication.
D000293:Adolescent; D000328:Adult; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D010502:Perineum / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D013524:Surgical Flaps / Q000379:methods; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery*