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

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...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 2018-05, Vol.125 (6), p.751-756
Main Authors: Pope, RJ, Brown, RH, Chipungu, E, Hollier, LH, Wilkinson, JP
Format: Article
Language:English
Subjects:
Collaboration
Constriction, Pathologic - etiology
Constriction, Pathologic - surgery
Female
Fistula
Fistulae
Gynecology
Humans
Innervation
Obstetric fistula
Obstetrics
Plastic surgery
Plastics
Pregnancy
Pregnancy Complications - etiology
Pregnancy Complications - pathology
Pregnancy Complications - surgery
Reconstructive Surgical Procedures - methods
Sexual disorders
sexual dysfunction
Skin & tissue grafts
Stenosis
Surgical Flaps
Surgical techniques
Treatment Outcome
Vagina
Vagina - pathology
Vagina - surgery
vaginal reconstruction
Vesicovaginal Fistula - complications
Vesicovaginal Fistula - pathology
Vesicovaginal Fistula - surgery
vesico‐vaginal fistula
Womens health
Young Adult
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Summary: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 Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula. Tweetable Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.
ISSN:1470-0328
1471-0528
DOI:10.1111/1471-0528.14952