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Vesicovaginal Fistula Repair by Modified Martius Flap: A Step-by-Step Surgical Technique Video

  • Gynecologic Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Fistula repair in the perineal region represents a major challenge for surgeons. It is important for the medical community to facilitate and disclose these techniques.

Objective

The aim of this article was to show a stepwise approach for a direct repair and use of a Martius flap for a vesicovaginal fistula.

Methods

We show a single case performed in a patient who presented with a vesicovaginal fistula diagnosed after surgery, which did not respond to conservative management. The procedure consists of the following steps: intraoperative cystoscopy, anatomical direct repair of the fistulous tract between the bladder and vagina, and modified Martius flap.

Conclusions

Martius flap is a repair technique used for complex fistula in the perineal region. It is a simple, safe, and reproducible procedure with good long-term functional and esthetic results.

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Acknowledgment

The authors thank Laura Álvaro Valiente, MD, for the illustrations of this video.

Funding

This research did not receive any specific Grants from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

Authors

Contributions

TM: Conceptualization, video editing, writing the original draft. VL: Conceptualization, video recording, writing the original draft. PP: Conceptualization, review of the draft. LM: Conceptualization, review of the draft. SD: Conceptualization, project administration, surgery and video recording, supervision, review of the draft.

Corresponding author

Correspondence to Tiermes Marina MD.

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The authors declare that they have no conflict of interest.

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Marina, T., Lago, V., Padilla, P. et al. Vesicovaginal Fistula Repair by Modified Martius Flap: A Step-by-Step Surgical Technique Video. Ann Surg Oncol 28, 1002–1006 (2021). https://doi.org/10.1245/s10434-020-09020-5

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  • DOI: https://doi.org/10.1245/s10434-020-09020-5

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