✦ LIBER ✦
Treatment of persistent perineal sinus with vaginal fistula following proctocolectomy for Crohn's disease
✍ Scribed by M. W. N. Ward; B. G. Morgan; C. G. Clark
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 223 KB
- Volume
- 69
- Category
- Article
- ISSN
- 0007-1323
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✦ Synopsis
Abstract
The utilization of a myocutaneous flap based on the gracilis muscle is described in two patients who had a persistent perineal sinus following proctocolectomy for Crohn's disease. In each case the posterior vaginal wall had eroded to form a fistula. This flap provided a cutaneous surface with good sensation to replace the posterior vaginal wall and tissue bulk to fill the excised cavity. A good functional result was obtained in each patient. This technique provides a useful contribution to the management of this unusual complication.