The American Journal of Surgery
Volume 193, Issue 5 , Pages 597-599 , May 2007

Martius flap: an adjunct for repair of complex, low rectovaginal fistula

Presented at the 93rd Annual Meeting of the North Pacific Surgical Association, Spokane, WA, November 10–11, 2006

  • M. Shane McNevin, M.D., F.A.S.C.R.S.

      Affiliations

    • Surgical Specialists of Spokane, 105 W 8th Ave, Spokane, WA 99204-2302, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-509-747-6194; fax: +1-509-747-4313.
    • ,
  • Patrick Y.H. Lee, M.D., F.A.S.C.R.S.

      Affiliations

    • Surgical Specialty Group, PC, The Colon and Rectal Clinic, 511 SW 10th Ave, #714, Portland, OR 97205, USA
    • ,
  • Timothy W. Bax, M.D.

      Affiliations

    • Surgical Specialists of Spokane, 105 W 8th Ave, Spokane, WA 99204-2302, USA

Received 6 December 2006 ,Revised 29 January 2007

References 

  1. Lowry AC. Rectovaginal fistulas. In:  Beck DE,  Wexner SD editor. Fundamentals of Anorectal Surgery. 2nd ed.. Philadelphia: Saunders; 2001;p. 174–186
  2. Kodner IJ, Mazor A, Shemesh EI, Fry RD, Fleshman JW, Birnbaum EH. Endorectal advancement flap repair of rectovaginal and other complicated anorectal fistulas. Surgery. 1993;114:682–689
  3. Baig MK, Zhao RH, Yuen CH, Nogueras JJ, Singh JJ, Weiss EG, et al. Simple rectovaginal fistulas. Colorectal Dis. 2000;15:323–327
  4. Sonoda T, Hull T, Piedmonte MR, Fazio VW. Outcomes of primary repair of anorectal and rectovaginal fistulas using the endorectal advancement flap. Dis Colon Rectum. 2002;45:1622–1628
  5. Khanduja KS, Padmanabhan A, Kerner BA, Wise WE, Aguilar PS. Reconstruction of rectovaginal fistula with sphincter disruption by combining rectal mucosal advancement flap and anal sphincteroplasty. Dis Colon Rectum. 1999;42:1432–1437
  6. Tsang CB, Madoff RD, Wong WD, et al. Anal sphincter integrity and function influences outcome in rectovaginal fistula repair. Dis Colon Rectum. 1998;41:1141–1146
  7. McRae HM, McLeod RS, Cohen Z, Stern H, Reznick R. Treatment of rectovaginal fistulas that have failed previous repair attempts. Dis Colon Rectum. 1995;38:921–925
  8. Halvorsen AL, Hull TL, Fazio VW, Church J, Hammel J, Floruta C. Repair of recurrant rectovaginal fistulas. Surgery. 2001;130:753–758
  9. Rius J, Nessim A, Nogueras JJ, Wexner SD. Gracilus transposition in complicated perianal fistula and unhealed perineal wounds in Crohn’s disease. Eur J Surg. 2000;166:218–222
  10. Lee RC, Rotmensch J. Rectovaginal radiation fistula repair using an obturator fasciocutaneous thigh flap. Gynecol Oncol. 2004;94:277–282
  11. Pye PK, Dada T, Duthie G, Phillips K. Surgisis trademark mesh: a novel approach to repair of a recurrant rectovaginal fistula. Dis Colon Rectum. 2004;47:1554–1559
  12. Moore RD, Miklos JR, Kohli N. Rectovaginal fistula repair using a porcine dermal graft. Obstet Gynecol. 2004;104:1165–1167
  13. Flisser AJ, Blavias JG. Outcome of urethral reconstructive surgery in a series of 74 women. J Urol. 2003;169:2246–2249
  14. Raugnekar NP, Judad Ali N, Kaul SA, Pathak HR. Role of the martius procedure in the management of urinary-vaginal fistulas. J Am Coll Surg. 2000;191:259–263
  15. Pinedo G, Phillips R. Labial fat pad grafts (modified Martius graft) in complex perianal fistulas. Ann R Coll Surg Engl. 1998;80:410–412
  16. Chitrathara K, Namratha D, Francis V, Gangadharan VP. Sponataneous rectovaginal fistula and repair using bulbocavernosus muscle flap. Tech Coloproctol. 2001;5:47–49
  17. Petrou SP, Jones J, Parra RO. Martius flap harvest site: patient self perception. J Urol. 2002;167:2098–2099
  18. Oliveira L, Wexner SD. Anal incontinence. In:  Beck DE,  Wexner SD editor. Fundamentals of Anorectal Surgery. 2nd ed.. Philadelphia: Saunders; 2001;p. 115–152

PII: S0002-9610(07)00066-9

doi: 10.1016/j.amjsurg.2007.01.009

The American Journal of Surgery
Volume 193, Issue 5 , Pages 597-599 , May 2007

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