Repair of a recurrent rectovaginal fistula using gluteal-fold flap: report of a case.
Various surgical procedures have been reported for the repair of a rectovaginal fistula, but a failure of the initial repair leads to difficulty in the second and later operations. This report presents the case of a 58-year-old woman with a recurrent rectovaginal fistula after a low anterior resection for rectal cancer who achieved a good outcome following a repair using a gluteal-fold flap. We therefore conclude that the transfer of a well-vascularized gluteal-fold flap may be a safe and reliable method to repair a rectovaginal fistula with a large diameter following repeated recurrence.
Onishi
Kiyoshi
K
Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan.
Ogino
Akihiro
A
Saida
Yoshihisa
Y
Maruyama
Yu
Y
D002081:Buttocks / Q000601:surgery*; D003082:Colectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D013524:Surgical Flaps