[Transposition of the gracilis muscle - an option in the surgical treatment of rectovaginal fistulae].
Rectovaginal fistulae following low anterior resection are rare, but if present therapy is difficult. We report on a 52-year-old patient who was operated upon several times, including an endorectal advancement flap procedure and transperineal repair with levator interposition. Closure was only successful after transposition of the M. gracilis between the vagina and rectum.
Köhler
L
L
Kreiskrankenhaus Grevenbroich - St. Elisabeth (Chefarzt: Priv.-Doz. Dr. L. Köhler), Akademisches Lehrkrankenhaus der RWTH Aachen.
Troidl
H
H
D000230:Adenocarcinoma / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D013997:Time Factors