ArticleGeburtshilfe und Frauenheilkunde2014
Surgical Approach for Repair of Rectovaginal Fistula by Modified Martius Flap.
Article in Geburtshilfe und Frauenheilkunde, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Repair of Rectovaginal Fistulas with Martius Flap and Concomitant Levatoroplasty: A Ten-year Experience in a Tertiary Center.Iranian journal of medical sciences · 2025Article
- LUSSY score predictive of failure of surgical closure of obstetric rectovaginal fistula in the Democratic Republic of the Congo.Reproductive health · 2025Article
- Martius fat pad flap procedure for management of obstetric rectovaginal fistula: A case report.Case reports in women's health · 2023Article
- Article
- Tissue selecting technique for adult women with low rectovaginal fistula.Journal of the Chinese Medical Association : JCMA · 2022Article
- Stapled transperineal repair for low- and mid-level rectovaginal fistulas: A 5-year experience and comparison with sutured repair.World journal of gastroenterology · 2021Article
- Recto-vaginal fistulas: A case series.International journal of surgery case reports · 2020Article
- Martius flap reconstruction for rectovaginal fistula after stapled hemorrhoidopexy (Longo operation): a case report.International journal of colorectal disease · 2019Article
- Martius' flap for recurrent perineal and rectovaginal fistulae in a patient with Crohn's disease, endometriosis and a mullerian anomaly.BMC surgery · 2017Article
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Authors and funding
7 authors.
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Abstract
Rectovaginal fistulas (RVF) are rare but represent a challenge for both patients and surgeons. The most common cause of RVF is obstetric trauma, and treatment is based on fistula classification and localization of the fistula in relation to the vagina and rectum. Conventional therapy frequently fails, making surgery the most viable approach for fistula repair. One surgical procedure which offers adequate repair of lower and middle rectovaginal fistulas consists of interposition of a bulbocavernosus fat flap also called modified Martius flap. First described by Heinrich Martius in 1928, this approach has been continuously modified and adjusted over time and is used in the repair of various pelvic floor disorders. Overall success rates reported in the literature of the interposition of a Martius flap as an adjunct procedure in the surgical management of RVF are 65-100 %. We present a detailed description of the operation technique together with a discussion of the use of a dorsal-flapped modified Martius flap in the treatment of RVF.
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