scholarly journals Case Report of Rectovaginal Fistula That Was Cured Successfully by Repair Using A Gracilis Muscle Flap

2012 ◽  
Vol 71 (3) ◽  
pp. 198-201 ◽  
Author(s):  
Yasuhiko Nakata ◽  
Takao Mamiya ◽  
Daijo Jinno ◽  
Yoshiki Hamada
Keyword(s):  
Case Report ◽  
Rectovaginal Fistula ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Gracilis Muscle Flap

scholarly journals Retroperitoneal Urinoma Spontaneously Drained in the Scrotum Repaired with Gracilis Muscle Flap: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Emanuela Altobelli ◽  
Alfredo Maria Bove ◽  
Federico Sergi ◽  
Maurizio Buscarini
Keyword(s):  
Case Report ◽  
Spermatic Cord ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Unique Case ◽  
Gracilis Muscle Flap

Aim.To report a unique case of retroperitoneal urinoma extending to the scrotum through the spermatic cord and successfully treated with nephrostomy, drainage, and gracilis muscle flap.

scholarly journals Case Report: Use of reinforced buccal mucosa graft over gracilis muscle flap in management of post high intensity focused ultrasound (HIFU) rectourethral fistula

F1000Research ◽  
2017 ◽  
Vol 5 ◽  
pp. 2891 ◽  
Author(s):  
Shrikant Jai ◽  
Arvind Ganpule ◽  
Abhishek Singh ◽  
Mohankumar Vijaykumar ◽  
Vinod Bopaiah ◽  
...  
Keyword(s):  
Case Report ◽  
Buccal Mucosa ◽  
Focused Ultrasound ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
High Intensity Focused Ultrasound ◽  
Rectourethral Fistula ◽  
Gracilis Muscle Flap ◽  
Buccal Mucosa Graft ◽  
Free Closure

High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. Management of these fistulas has been described by Vanni et al. This case report describes points of technique that will help successful management of resilient rectourethral fistula. Urinary and faecal diversion in the form of suprapubic catheter and colostomy is vital. Adequate time between stoma formation, fistula closure and then finally stoma closure is needed. Lithotomy position and perineal approach gives best exposure to the fistula. The rectum should be dissected 2cm above the fistula; this aids in tension free closure of the rectal defect. Similarly buccal mucosal graft was used on the urethra to achieve tension free closure. A good vascular pedicle gracilis muscle flap is used to interpose between the two repairs. This not only provides a physical barrier but also provides a vascular bed for BMG uptake. Perfect haemostasis is essential, as any collection may become a site of infection thus compromising results.  We strongly recommend rectourethral fistula be directly repaired with gracilis muscle flap with reinforced buccal mucosa graft without attempting any less invasive repairs because the “first chance is the best chance”.

scholarly journals Anorectal malformation with didelphys uterus: Extremely rare anomaly and successful neoanal sphincter reconstruction with gracilis muscle flap

2020 ◽  
Vol 47 (3) ◽  
pp. 272-276
Author(s):  
Chairat Burusapat ◽  
Natthawoot Hongkarnjanakul ◽  
Nutthapong Wanichjaroen ◽  
Sakchai Panitwong ◽  
Jiraporn Sangkaewsuntisuk ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Imperforate Anus ◽  
Rectovaginal Fistula ◽  
Anorectal Malformation ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Sphincter Reconstruction ◽  
Gracilis Muscle Flap ◽  
Rare Anomaly ◽  
Anal Sphincter Reconstruction

Anorectal malformation or imperforate anus is a congenital anomaly of rectum and anus. Mullerian duct anomalies are abnormal development of uterus, cervix, and vagina. Imperforate anus with double uterus is extremely rare and cannot explain by normal embryologic development. Moreover, guideline in treatment is inconclusive. We report an extremely rare case of a young adult female who presented with recurrent pelvic inflammatory disease caused by rectovaginal fistula in congenital imperforate anus and didelphys uterus, and successfully neoanal reconstruction with gracilis muscle flap. Aims for treatment are closed rectovaginal fistula, and anal sphincter reconstruction. To our best knowledge, the imperforate anus with double uterus is extremely rare anomaly. Furthermore, successfully anal sphincter reconstruction with functional gracilis muscle in the imperforate anus with double uterus has never been reported in English literature.

scholarly journals Case Report: Use of reinforced buccal mucosa graft over gracilis muscle flap in management of post high intensity focused ultrasound (HIFU) rectourethral fistula

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 2891
Author(s):  
Shrikant Jai ◽  
Arvind Ganpule ◽  
Abhishek Singh ◽  
Mohankumar Vijaykumar ◽  
Vinod Bopaiah ◽  
...  
Keyword(s):  
Case Report ◽  
Buccal Mucosa ◽  
Focused Ultrasound ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
High Intensity Focused Ultrasound ◽  
Rectourethral Fistula ◽  
Gracilis Muscle Flap ◽  
Buccal Mucosa Graft ◽  
Free Closure

High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. To our knowledge this is first case in which rectourethral fistula secondary to HIFU was repaired with buccal mucosa graft (BMG) over a harvest bed of gracilis flap. This case report describes points of technique that will help successful management of resilient rectourethral fistula. Urinary and faecal diversion in the form of suprapubic catheter and colostomy is vital. Adequate time between stoma formation, fistula closure and then finally stoma closure is needed. Lithotomy position and perineal approach gives best exposure to the fistula. The rectum should be dissected 2cm above the fistula; this aids in tension free closure of the rectal defect. Similarly buccal mucosal graft was used on the urethra to achieve tension free closure. A good vascular pedicle gracilis muscle flap is used to interpose between the two repairs. This not only provides a physical barrier but also provides a vascular bed for BMG uptake. Perfect haemostasis is essential, as any collection may become a site of infection thus compromising results.  We strongly recommend rectourethral fistula be directly repaired with gracilis muscle flap with reinforced buccal mucosa graft without attempting any less invasive repairs because the “first chance is the best chance”.

scholarly journals Gracilis Muscle Flap for Recurrent Rectovaginal Fistula: a Case Report

2018 ◽  
Vol 3 (4) ◽  
pp. 242-245
Author(s):  
Flavius Mocian ◽  
Ruxandra Oancea ◽  
Marius Coroș
Keyword(s):  
Ulcerative Colitis ◽  
Rectovaginal Fistula ◽  
Local Treatment ◽  
Rectal Surgery ◽  
Muscle Flap ◽  
Vascular Supply ◽  
Gracilis Muscle ◽  
Diverting Ileostomy ◽  
Gracilis Muscle Flap ◽  
Mechanical Anastomosis

Abstract We present the case of a 48-year-old patient with a recurrent rectovaginal fistula, who we treated surgically by transposing the gracilis muscle. The patient with a history of ulcerative colitis underwent colorectal resection with mechanical anastomosis and diverting ileostomy for rectal cancer. She was subsequently treated by radiation and chemotherapy. Six weeks later, the ileostomy was removed, but afterwards the patient developed a recto-vaginal fistula. A new diverting ileostomy was performed. After eight months, a transvaginal surgical procedure was performed, and the diverting ileostomy was closed after four months. Two years after the last surgery, the patient performed an MRI scan, which revealed the relapse of the rectovaginal fistula. This time the patient was reoperated using a flap of the gracilis muscle interposed between the rectum and the vagina, but the patient refused any diverting stoma. The rectovaginal fistula relapsed again after thirteen days. Fortunately, after six months of intensive systemic and local treatment with aminosalicilic-5-acid, the fistula closed by itself. Our conclusion is that with a well-managed medical treatment, the gracilis flap, because of its good vascular supply, could be successfully used to treat rectovaginal fistulas even in patients with ulcerative colitis who underwent rectal surgery and radiation therapy for cancer.

Rectovaginal fistula repair using a gracilis muscle flap

2016 ◽  
Vol 27 (6) ◽  
pp. 965-967 ◽  
Author(s):  
Erik D. Hokenstad ◽  
Ziyad S. Hammoudeh ◽  
Nho V. Tran ◽  
Heidi K. Chua ◽  
John A. Occhino
Keyword(s):  
Rectovaginal Fistula ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Fistula Repair ◽  
Gracilis Muscle Flap

scholarly journals Repair of Rectovaginal Fistula Using the Gracilis Muscle Flap

2013 ◽  
Vol 66 (8) ◽  
pp. 622-627 ◽  
Author(s):  
Yushi Fujiwara ◽  
Satoshi Takatsuka ◽  
Ryoji Kaizaki
Keyword(s):  
Rectovaginal Fistula ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Gracilis Muscle Flap

scholarly journals Rectovaginal Fistula Repair using a Gracilis Muscle Flap

2015 ◽  
Vol 22 (3) ◽  
pp. S60
Author(s):  
E.D. Hokenstad ◽  
Z.S. Hammoudeh ◽  
N.V. Tran ◽  
H.K. Chua ◽  
J.A. Occhino
Keyword(s):  
Rectovaginal Fistula ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Fistula Repair ◽  
Gracilis Muscle Flap

Treatment of rectovaginal fistula with gracilis muscle flap transposition: long-term follow-up

2017 ◽  
Vol 32 (7) ◽  
pp. 1029-1032 ◽  
Author(s):  
Seong Oh Park ◽  
Ki Yong Hong ◽  
Kyo Joo Park ◽  
Hak Chang ◽  
Jin Yong Shin ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Muscle Flap ◽  
Gracilis Muscle ◽  
Gracilis Muscle Flap ◽  
Long Term Follow Up ◽  
Muscle Flap Transposition
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