Abstract
The Martius pedicle adipose flap can be used as an interposition flap during complex vaginal operations. It is a simple, rapid technique allowing raising of a well vascularized adipose flap with a mean length of 8 to 12 cm. It can be used in certain forms of vaginal repair, such as high supratrigonal vesicovaginal fistula, after bladder perforation, for obstructed urethra after colposuspension, after urethral destruction following prolonged bladder catheterization in a neurological patient, during repair of a complex urethral diverticulum or during transvaginal insertion of an artificial sphincter. After describing the flap raising operative technique, the various operative indications are presented.
| Translated title of the contribution | Indications and technique of the Martius flap in vaginal surgery |
|---|---|
| Original language | French |
| Pages (from-to) | 120-125 |
| Number of pages | 6 |
| Journal | Progres en Urologie |
| Volume | 7 |
| Issue number | 1 |
| State | Published - Dec 1 1997 |
Keywords
- Martius flap
- Urethra diverticulum
- Urethrolysis
- Vaginal surgery
- Vesicovaginal fistula
ASJC Scopus subject areas
- Urology