Resumo

BORDA MEDEROS, Luis A; FUENTES RIVERA CARMELO, Manuel A; MONZON VILCA, Mackinder  e  MARCOS QUISPE, Jorge Luis. Martius procedure in complex anorectal-vaginal fistula management: five-case report. Rev. gastroenterol. Perú [online]. 2018, vol.38, n.2, pp.196-200. ISSN 1022-5129.

The repair of complex anorectal-vaginal fistulas represents an anatomic-surgical challenge for the surgeon, and the appropriate surgical procedure must be selected for each case. The procedure of Martius is described as the transposition of the bulbocavernosus muscle to repair the recto-vaginal fistula. Five cases of anorectal-vaginal fistulae were repaired by this procedure from 2010 to 2014. The mean age was 38.2 years; three fistulas (60%) were of obstetric etiology, one induced by radiation and one of unknown etiology. The mean follow-up was 25 months, with a 100% success rate. The Martius procedure is a good alternative for the surgical repair of complex anorectal-vaginal fistulas.

Palavras-chave : Rectovaginal fistula; Anus; Operative procedures.

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