GRACILIS MUSCLE INTERPOSITION FOR RECURRENT RECTOVAGINAL FISTULA
Sumeyye Yilmaz*, Marianna Maspero, Raymond Isakov, Jean Wong, Niamh Foley, Anna R. Spivak, Tracy L. Hull
Cleveland Clinic, Cleveland, OH
Treatment of rectovaginal fistulas (RVFs) is challenging and oftentimes requires multiple procedures. Current treatments range from simple local procedures to complex perineal and abdominal operations. Gracilis flap repair is recommended for recurrent and complex RVFs. The gracilis muscle has a very proximal pedicle, which makes it convenient for perineal transposition. The gracilis muscle provides healthy well-vascularized tissue that can be placed over the repaired internal anorectal opening and this will separate the internal opening from the repaired vagina. This video describes the technique of gracilis muscle interposition for recurrent RVFs.
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