Novel use of the rectus abdominus muscle flap for vaginal reconstruction in complex obstetric fistula repair: A case series.

Objective: Globally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post-operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair.
Design: Retrospective case series.
Setting: Malawi, Fistula Care Centre.
Methods: Patients were followed for 3 months after discharge to determine continence and healing.
Results: Five of six patients were continent at 3 months and one was lost to follow-up by dry at a one month post-operative phone call. There were no major complications.
Conclusions: The rectus abdominus flap may be a useful adjunct to repair of complex obstetric fistula.
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