title: [Persistent perineal sinus closure after rectal extirpation-an alternative using bulbocavernosus fat flaps].
abstract: We present a 78-year-old female who had undergone rectal excision due to Crohn's disease of the rectum with loss of fecal continence. This led to a chronic perineal sinus and vaginal fistula which was closed with a Martius procedure using a bulbocavernosus fat flap. The sinus healed uneventfully after 4 weeks. In our opinion, the gracilis muscle was too large for this defect. We suggest use of this flap in female patients with small persistent perineal sinuses.
authors.affiliation: Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum Bonn.
authors.forename: M
authors.initials: M
authors.lastname: Kaminski
authors.forename: M
authors.initials: M
authors.lastname: Sippel
authors.forename: A
authors.initials: A
authors.lastname: Hirner
mesh_terms: D000328:Adult; D000368:Aged; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010864:Pilonidal Sinus / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011832:Radiation Injuries / Q000601:surgery*; D012003:Rectal Fistula / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000528:radiation effects / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D014624:Vaginal Fistula / Q000601:surgery