A case of recto-vaginal obstetrical fistula treated by the Martius lamp, seen at Befelatanana Madagascar
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Date
2020-07
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
The rectovaginal fistulas are a pathological epithelialized communication between the vagina and the rectum, its frequency is 10 to 30%, and it is a disabling pathology because of the social repercussion. Many flap techniques have been described but the aim is to present a simple procedure according to a particular technique called Martius. This is a case of woman presenting a low rectovaginal fistula on obstetrical trauma. The surgical technique consists of a repair according to the technique of Martius. The operative follow-up was simple and the patient was able to resume sexual activity and normal anal sphincter function. It is a simple technique, easy to achieve for the technical platform in Madagascar whose evaluation of the results for a larger population should be considered. This technique therefore deserves to be known and widely used.
Description
Keywords
Martius flap, Obstetrical trauma, Perineal repair, Rectovaginal fistulas, Surgery
Citation
Lanto Rainibarijaona, Martial Rakotonirina, Besaina Rakotozanany, Tanjona Ratsiatosika, Romuald Randriamahavonjy, Hery Andrianampanalinarivo Rakotovao. A case of recto-vaginal obstetrical fistula treated by the Martius lamp, seen at Befelatanana Madagascar. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Jul; 9(7): 3058-3062