Martius flap in recurrent rectovaginal fistula: a video vignette.

ABSTRACT:

Purpose

We aimed to demonstrate the Martius flap treatment in a patient who had a recurrent iatrogenic rectovaginal fistula following cystocele repair.

Method

We performed a Martius flap procedure for the reconstruction. A vascularized flap was harvested from the labial fat pad, ensuring preservation of its blood supply via the internal pudendal vessels. The flap was then transposed to the defect site to provide adequate vascular support and promote healing.

Results

The patient initially underwent a primary repair of the rectovaginal fistula, which did not achieve fistula healing. A diverting colostomy was then created. Following referral to our unit, a Martius flap using tissue from the left labium majus was performed. The patient was discharged on postoperative day

SUBMITTER: Yildirim Y 

PROVIDER: S-EPMC12532618 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature