Novel use of the rectus abdominus muscle flap for vaginal reconstruction in complex obstetric fistula repair: A case series.

Autor: Patel T; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA., Brown R; Plastic and Reconstructive Surgery, Houston Methodist Hospital, Houston, Texas, USA., Chipungu E; Freedom from Fistula Foundation, Obstetrics and Gynecology, Lilongwe, Malawi., Breen M; Freedom from Fistula Foundation, Obstetrics and Gynecology, Toamasina, Madagascar., Draganchuk J; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA., Nampandeni P; Freedom from Fistula Foundation, Obstetrics and Gynecology, Lilongwe, Malawi., Legesse A; Freedom from Fistula Foundation, Obstetrics and Gynecology, Freetown, Sierra Leone., Wilkinson J; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2025 Jan; Vol. 132 (1), pp. 6-11. Date of Electronic Publication: 2024 Aug 08.
DOI: 10.1111/1471-0528.17926
Abstrakt: Objective: Globally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post-operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair.
Design: Retrospective case series.
Setting: Malawi, Fistula Care Centre.
Methods: Patients were followed for 3 months after discharge to determine continence and healing.
Results: Five of six patients were continent at 3 months and one was lost to follow-up by dry at a one month post-operative phone call. There were no major complications.
Conclusions: The rectus abdominus flap may be a useful adjunct to repair of complex obstetric fistula.
(© 2024 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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