title: [The Martius flap in vaginal surgery: technic and indications].
abstract: The Martius pedicle adipose flap can be used as an interposition flap during complex vaginal operations. It is a simple, rapid technique allowing raising of a well vascularized adipose flap with a mean length of 8 to 12 cm. It can be used in certain forms of vaginal repair, such as high supratrigonal vesicovaginal fistula, after bladder perforation, for obstructed urethra after colposuspension, after urethral destruction following prolonged bladder catheterization in a neurological patient, during repair of a complex urethral diverticulum or during transvaginal insertion of an artificial sphincter. After describing the flap raising operative technique, the various operative indications are presented.
authors.affiliation: Department of Urology, UT Southwestern Medical Center, Dallas, USA.
authors.forename: S
authors.initials: S
authors.lastname: Chassagne
authors.forename: F
authors.initials: F
authors.lastname: Haab
authors.forename: P
authors.initials: P
authors.lastname: Zimmern
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D004240:Diverticulum / Q000601:surgery; D005260:Female; D006801:Humans; D013524:Surgical Flaps / Q000379:methods*; D014522:Urethral Diseases / Q000601:surgery; D014524:Urethral Obstruction / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery; D014546:Urinary Catheterization / Q000009:adverse effects; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000601:surgery