Repair of a huge vesicocutaneous fistula with the rectus femoris musculocutaneous flap and VAC.
Adequate drainage is a prerequisite for closing a vesicocutaneous fistula, but the continued exposure to urine makes this impossible. Here, VAC was successfully used as a preoperative therapy before flap transplantation.
Katsuragi
Yoko
Y
Department of Plastic and Reconstructive Surgery, Fukushima Medical School, Japan. yoko-prs@umin.ac.jp
Ueda
K
K
Kajikawa
A
A
Tateshita
T
T
Okochi
H
H
D000328:Adult; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications; D054843:Negative-Pressure Wound Therapy / Q000379:methods* / Q000451:nursing; D010388:Pelvis / Q000293:injuries; D011182:Postoperative Care / Q000379:methods; D052097:Quadriceps Muscle / Q000637:transplantation; D017592:Skin Care / Q000379:methods; D016038:Skin Transplantation / Q000379:methods* / Q000451:nursing; D013524:Surgical Flaps; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion