Complex Vescico-vaginal Fistulas (VVF) are a common cause of
morbidity especially in elderly patients. These can be one of the most
troublesome complications of obstetric trauma and pelvic surgery and usually
occur due to previous operative interventions and/or as a result of chronic
diseases. These are difficult to repair because of the poor or almost no
supporting tissue left at the perineum as a result of the previous insults.
According to the principles of fistula closures, some form of vascular tissue should
be applied as a graft for the successful repair of these complex fistulas.
Despite many advances in the medical field, repair of complex VVF continues to
present a major technical challenge for modern surgery. We describe Gracilis
muscle interposition flap for repair of these complex VVFs.
Author(s) Details
Dr. A.
Sharma Department of Urology, TNMC & BYL Nair Hospital, Mumbai 400008, Maharashtra, India.
Dr. R. Chaudhari
Department of Urology, TNMC & BYL Nair Hospital, Mumbai 400008, Maharashtra, India.
Dr. I. Shaikh
Department of Urology, TNMC & BYL Nair Hospital, Mumbai 400008, Maharashtra, India.
Dr. R. Desai
Department of Urology, TNMC & BYL Nair Hospital, Mumbai 400008, Maharashtra, India.
Dr. M. Andankar
Department of Urology, TNMC & BYL Nair Hospital, Mumbai 400008, Maharashtra, India.
Dr. H. Pathak
Department of Urology, TNMC & BYL Nair Hospital, Mumbai 400008, Maharashtra, India.
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