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12 Mar 2011 Aim Many surgical approaches have been described for the treatment of low rectovaginal fistulae (LRVF); how- ever, all are associated with a high recurrence rate and a poor function. The Martius flap technique was first described in 1928 and has since been modified for the treatment of LRVF. The aims of
Hypothesis / aims of study. The Martius flap was initially described in 1928 and is widely used for complex fistula repair and as an interposition graft with vaginal reconstructive surgery. A recent review noted 62% of patients perceived permanent decrease in sensation at the harvest site, while 12% believed there was a
graciloplasty for the rectovaginal fistula and ileostomy were performed. After two months, a rectovaginal fistula occurred again, and the Martius flap repair was performed. Conclusion. The Martius flap technique using a fat pad flap is a decent choice for low rectovaginal fistulas. A well vascularised interposi- tion flap between
Complex rectovaginal fistulas can be successfully repaired with the Martius flap technique provided they are mid or low lying, benign, and associated with quiescent inflammatory bowel disease. Patients with complex fistulas often have either symptomatic or occult anal sphincter disruption. Patients with an associated anal
18 Dec 2014 that healthy, well-vascularized tissue is available to op- timize outcomes. One such technique involves rotating in the bulbocavernosus muscle and its associated fat pad from the adjacent labia to fill in the rectovaginal septum after debridement and closure of the fistula. Martius Flap: How I Do It. In 1928, Dr.
Abstract: The Martius modified labial fat pad flap at nearly 90 years old is still very much part of the modern vaginal surgeon's armamentarium. Here we describe this straightforward and adaptable technique, the avoidance of pitfalls, its advantages and uses in vaginal surgery, and outcomes both short and long term.
10 Apr 2017 Wilfred Shaw, in London, took Martius's description of the technique and applied it to the treatment of vesicovaginal fistulas and urinary continence in women. In 1949, he published seven case studies describing results after he had used the Martius flap procedure and other procedures on women.
This video (links.lww.com/DCR/A204) details the Martius/bulbocavernosus flap used to treat a 28-year-old woman with a recurrent low-lying rectovaginal fistula. The video begins by reviewing important principles of successful fistula management. The vignette then transitions into a step-by-step operative procedure
23 Jun 2014 The surgical technique described by Martius [9] starts with a lateral incision on the labia majora pudenda. The side from which the flap is taken depends on fistula location. When choosing the side, the shortest distance to the covering area has to be considered because of less tension, a better blood supply
20 Dec 2017 Full-text (PDF) | Introduction Objectives were to evaluate safety and patient reported perception of the Martius fibroadipose flap for complex female urethra reconstruction. Material and methods Patients operated with a Martius flap were contacted again via telephone to rate their self–perception
Annons