The use of Singapore flaps for vaginal reconstruction in women with vaginal stenosis with obstetric fistula: a surgical technique.

Abstract

Gynecologic and plastic surgeons collaborate to improve vaginal reconstruction for women with vaginal stenosis and obstetric fistula. As these cases occur typically in low-resource settings, the Singapore flap is a useful technique given its reliability, safety, ease of dissection, and minimal need for additional supplies. The fasciocutaneous flap maintains cutaneous innervation and vasculature and does not require stenting. The surgical collaboration has made it possible to provide functional vaginal reconstruction as a part of the overall care of obstetric fistula patients. The technique shows promise for improving sexual function for women with obstetric fistula and may also enhance healing.

TWEETABLE ABSTRACT:

Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.

• Authors: R J Pope, R H Brown, E Chipungu, L H Hollier Jr, J P Wilkinson
• Journal: BJOG : an international journal of obstetrics and gynaecology (BJOG) Vol. 125 Issue 6 Pg. 751-756 (May 2018) ISSN: 1471-0528 [Electronic] England
• PMID: 28981186 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2017 Royal College of Obstetricians and Gynaecologists.

Topics

• Constriction, Pathologic (etiology, surgery)
• Female
• Humans
• Pregnancy
• Pregnancy Complications (etiology, pathology, surgery)
• Plastic Surgery Procedures (methods)
• Surgical Flaps
• Treatment Outcome
• Vagina (pathology, surgery)
• Vesicovaginal Fistula (complications, pathology, surgery)
• Young Adult