Gracilis transposition flap for repair of an acquired rectovaginal fistula in a pediatric patient

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Acquired rectovaginal fistulas in the pediatric population are relatively rare but are often difficult to treat. We describe a young girl who acquired a neorectovaginal fistula after a repeat pull-through procedure for Hirschsprung's disease. Durable repair of the fistula was accomplished with a gracilis transposition flap, providing a well-vascularized muscle buttress between the neorectum and vagina. To our knowledge, this is the first report of a gracilis flap in a pediatric patient with an acquired fistula and should be considered for this complication after pull-through for Hirschsprung's as well as for other perineal fistulas such as those acquired after trauma, infection, or in the setting of inflammatory bowel disease.

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
Volume46
Issue number8
DOIs
StatePublished - Aug 2011

Fingerprint

Rectovaginal Fistula
Fistula
Pediatrics
Hirschsprung Disease
Vagina
Inflammatory Bowel Diseases
Muscles
Wounds and Injuries
Infection
Population

Keywords

  • Gracilis transposition flap
  • Rectovaginal fistula

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

@article{3d162e665ae24bceb975a6d33116bc24,
title = "Gracilis transposition flap for repair of an acquired rectovaginal fistula in a pediatric patient",
abstract = "Acquired rectovaginal fistulas in the pediatric population are relatively rare but are often difficult to treat. We describe a young girl who acquired a neorectovaginal fistula after a repeat pull-through procedure for Hirschsprung's disease. Durable repair of the fistula was accomplished with a gracilis transposition flap, providing a well-vascularized muscle buttress between the neorectum and vagina. To our knowledge, this is the first report of a gracilis flap in a pediatric patient with an acquired fistula and should be considered for this complication after pull-through for Hirschsprung's as well as for other perineal fistulas such as those acquired after trauma, infection, or in the setting of inflammatory bowel disease.",
keywords = "Gracilis transposition flap, Rectovaginal fistula",
author = "Piper, {Hannah G.} and Andrew Trussler and David Schindel",
year = "2011",
month = "8",
doi = "10.1016/j.jpedsurg.2011.05.004",
language = "English (US)",
volume = "46",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "8",

}

TY - JOUR

T1 - Gracilis transposition flap for repair of an acquired rectovaginal fistula in a pediatric patient

AU - Piper, Hannah G.

AU - Trussler, Andrew

AU - Schindel, David

PY - 2011/8

Y1 - 2011/8

N2 - Acquired rectovaginal fistulas in the pediatric population are relatively rare but are often difficult to treat. We describe a young girl who acquired a neorectovaginal fistula after a repeat pull-through procedure for Hirschsprung's disease. Durable repair of the fistula was accomplished with a gracilis transposition flap, providing a well-vascularized muscle buttress between the neorectum and vagina. To our knowledge, this is the first report of a gracilis flap in a pediatric patient with an acquired fistula and should be considered for this complication after pull-through for Hirschsprung's as well as for other perineal fistulas such as those acquired after trauma, infection, or in the setting of inflammatory bowel disease.

AB - Acquired rectovaginal fistulas in the pediatric population are relatively rare but are often difficult to treat. We describe a young girl who acquired a neorectovaginal fistula after a repeat pull-through procedure for Hirschsprung's disease. Durable repair of the fistula was accomplished with a gracilis transposition flap, providing a well-vascularized muscle buttress between the neorectum and vagina. To our knowledge, this is the first report of a gracilis flap in a pediatric patient with an acquired fistula and should be considered for this complication after pull-through for Hirschsprung's as well as for other perineal fistulas such as those acquired after trauma, infection, or in the setting of inflammatory bowel disease.

KW - Gracilis transposition flap

KW - Rectovaginal fistula

UR - http://www.scopus.com/inward/record.url?scp=80051891239&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80051891239&partnerID=8YFLogxK

U2 - 10.1016/j.jpedsurg.2011.05.004

DO - 10.1016/j.jpedsurg.2011.05.004

M3 - Article

C2 - 21843707

AN - SCOPUS:80051891239

VL - 46

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 8

ER -