Saborío D V, Saborío G P, Aguirre Romero F, Noriega Ibarra A
Harlem Hospital Center, College of Physicians & Surgeons of Columbia University, USA.
Ginecol Obstet Mex. 1998 Apr;66:153-6.
A 40-year-old woman presented with a 7-year-old type IV rectovaginal fistula (cloaca) and an associated "ectopic anus" deformity. The initial step of the operation was the creation of two v-shaped full-thickness skin flaps. Subsequently, a longitudinal repair was performed. The initial elevation of the flaps facilitates the identification of muscular structures needing repair. The overlap of the flaps as a final step of the operation corrects the "ectopic anus" deformity. Critical steps of the operation are described in detail and illustrated.
一名40岁女性患有7年的IV型直肠阴道瘘（泄殖腔）及相关的“异位肛门”畸形。手术的第一步是制作两个V形全层皮瓣。随后，进行纵向修复。皮瓣的初始掀起便于识别需要修复的肌肉结构。手术的最后一步皮瓣重叠可纠正“异位肛门”畸形。详细描述并说明了该手术的关键步骤。
