title: Transverse Singapore flap for reconstruction of a congenital rectovaginal fistula in an 18-month-old infant.
abstract: Many different types of flaps have been used for reconstruction of rectovaginal fistulae. This is the first report of using a transverse Singapore flap for repairing a large 3 cm by 3-cm complex congenital rectovaginal fistula in an 18-month-old infant with VATER syndrome. A right transverse Singapore flap was used to reconstruct both the posterior wall of the vagina and the anterior wall of the rectum while simultaneously joining the 2 structures to the perineum. Despite minor postoperative delayed healing which resolved, the patient has maintained a functionally and cosmetically satisfactory result at 20-month follow-up. For complex rectovaginal fistulae reconstruction in the pediatric patient, the transverse Singapore flap is a reliable and viable option for the reconstructive surgeon.
authors.affiliation: Stanford Plastic and Reconstructive Surgery, Palo Alto, CA 94304-5715, USA.
authors.forename: David T
authors.initials: DT
authors.lastname: Lee
authors.forename: Gordon K
authors.initials: GK
authors.lastname: Lee
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery; D004210:Dissection; D005260:Female; D006801:Humans; D007223:Infant; D019651:Plastic Surgery Procedures / Q000379:methods*; D012003:Rectal Fistula / Q000151:congenital / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D013577:Syndrome; D014624:Vaginal Fistula / Q000150:complications / Q000601:surgery*