Onishi Kiyoshi, Ogino Akihiro, Saida Yoshihisa, Maruyama Yu
Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan.
Surg Today. 2009;39(7):615-8. doi: 10.1007/s00595-008-3883-7. Epub 2009 Jun 28.
Various surgical procedures have been reported for the repair of a rectovaginal fistula, but a failure of the initial repair leads to difficulty in the second and later operations. This report presents the case of a 58-year-old woman with a recurrent rectovaginal fistula after a low anterior resection for rectal cancer who achieved a good outcome following a repair using a gluteal-fold flap. We therefore conclude that the transfer of a well-vascularized gluteal-fold flap may be a safe and reliable method to repair a rectovaginal fistula with a large diameter following repeated recurrence.
已有多种外科手术方法用于修复直肠阴道瘘，但初次修复失败会导致二次及后续手术困难。本报告介绍了一名58岁女性的病例，该患者在直肠癌低位前切除术后出现复发性直肠阴道瘘，采用臀褶皮瓣修复后取得了良好效果。因此，我们得出结论，对于反复复发且直径较大的直肠阴道瘘，转移血运良好的臀褶皮瓣可能是一种安全可靠的修复方法。
