Treatment of rectovaginal fistula with gracilis muscle flap transposition: long-term follow-up.
- Authors
- Park, Seong Oh; Hong, Ki Yong; Park, Kyo Joo; Chang, Hak; Shin, Jin Yong; Jeong, Seung-Yong
- Issue Date
- Jul-2017
- Publisher
- SPRINGER
- Keywords
- Rectovaginal fistula; Gracilis flap; Gracilis muscle flap; Gracilis muscle flap transposition
- Citation
- INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, v.32, no.7, pp.1029 - 1032
- Indexed
- SCIE
SCOPUS
- Journal Title
- INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
- Volume
- 32
- Number
- 7
- Start Page
- 1029
- End Page
- 1032
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/151960
- DOI
- 10.1007/s00384-017-2784-x
- ISSN
- 0179-1958
- Abstract
- Purpose: Rectovaginal fistulas are difficult to treat completely, especially when patients present with a history of multiple surgeries and radiation therapy. We aimed to evaluate the efficacy of gracilis muscle flap transposition to treat rectovaginal fistula. Methods: We performed a retrospective chart review of all gracilis muscle transposition cases and other procedures between January 2009 and July 2016. Results: Total 53 cases were reviewed. A total of 11 patients underwent gracilis muscle flap transposition for rectovaginal fistula repair, with 8 patients showing good results without recurrence (total success rate, 72.7%). Comparison of this patient group with patients who had undergone other surgical procedures for rectovaginal fistula repair showed that those who received a gracilis transposition flap had significantly higher average number of previous surgeries (2.18 ± 1.17 vs. 1.1 ± 1.25) and had previously undergone radiotherapy at a significantly higher rate (63.6 vs. 26.2%). Furthermore, none of our patients complained of donor site discomfort. Conclusions: Based on these results, we recommend using the gracilis muscle flap for rectovaginal fistula repair in cases where there is a history of radiotherapy and had surgical failure more than twice.
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