Use of Local Flaps in the Management of Recurrent Recto-Veginal Fistula (With Imperforate Anus)

We recommend local flaps in the management of recurrent rectovaginal fistula for following reasons: (i) The flap brings healthy vascular tissues to the site of fistula where lot of fibrosis is present following previous operations, thus healing of tissues is promoted. {ii) It reinforces the site of repair by being interposed posterior to the posterior vaginal wall. (iii) It enlarges the anal opening in cases with anal stenosis unresponsive to routine treatment. (iv) It brings additional skin between the anal and vaginal openings, thus maintaining them at normal distance in those cases where the openings are situated close together with very little, hypoplastic tissue in between. The flap, unlike split skin graft, grows with the growth of the body, so that chances of future stenosis and recurrence are nil. This is important particularly in children. (vi) The procedure is comparatively simple and safe, more so in the under nourished child, and makes major surgical procedures unnecessary. (vii) The duration of hospital stay is markedly curtailed and so is the economic burden of prolonae hospitalisation.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Use of Local Flaps in the Management of Recurrent Recto-Veginal Fistula (With Imperforate Anus) ; volume:10 ; number:01 ; year:1977 ; pages:30-32 ; Indian journal of plastic surgery ; 10, Heft 01 (1977), 30-32

Contributors, Places and Time

• Contributor: Gupta, Malti ; Chandalia, B. S.

Further information

• DOI: 10.1055/s-0043-1778325
• URN: urn:nbn:de:101:1-2024040411504888692842
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 14.08.2025, 10:57 AM CEST