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.