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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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Published in: | BJOG : an international journal of obstetrics and gynaecology 2018-05, Vol.125 (6), p.751-756 |
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creator | Pope, RJ Brown, RH Chipungu, E Hollier, LH Wilkinson, JP |
description | 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.
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula. |
doi_str_mv | 10.1111/1471-0528.14952 |
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.14952</identifier><identifier>PMID: 28981186</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>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</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2018-05, Vol.125 (6), p.751-756</ispartof><rights>2017 Royal College of Obstetricians and Gynaecologists</rights><rights>2017 Royal College of Obstetricians and Gynaecologists.</rights><rights>Copyright © 2018 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4122-b0f76c47dc0d2ee549832e76bbfb074fdd669fac7a9ce7fc1c31a9a1ac0361833</citedby><cites>FETCH-LOGICAL-c4122-b0f76c47dc0d2ee549832e76bbfb074fdd669fac7a9ce7fc1c31a9a1ac0361833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28981186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pope, RJ</creatorcontrib><creatorcontrib>Brown, RH</creatorcontrib><creatorcontrib>Chipungu, E</creatorcontrib><creatorcontrib>Hollier, LH</creatorcontrib><creatorcontrib>Wilkinson, JP</creatorcontrib><title>The use of Singapore flaps for vaginal reconstruction in women with vaginal stenosis with obstetric fistula: a surgical technique</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>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.
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.</description><subject>Collaboration</subject><subject>Constriction, Pathologic - etiology</subject><subject>Constriction, Pathologic - surgery</subject><subject>Female</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Innervation</subject><subject>Obstetric fistula</subject><subject>Obstetrics</subject><subject>Plastic surgery</subject><subject>Plastics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - etiology</subject><subject>Pregnancy Complications - pathology</subject><subject>Pregnancy Complications - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Sexual disorders</subject><subject>sexual dysfunction</subject><subject>Skin & tissue grafts</subject><subject>Stenosis</subject><subject>Surgical Flaps</subject><subject>Surgical techniques</subject><subject>Treatment Outcome</subject><subject>Vagina</subject><subject>Vagina - pathology</subject><subject>Vagina - surgery</subject><subject>vaginal reconstruction</subject><subject>Vesicovaginal Fistula - complications</subject><subject>Vesicovaginal Fistula - pathology</subject><subject>Vesicovaginal Fistula - surgery</subject><subject>vesico‐vaginal fistula</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkU1P3DAQhq2qVaGUMzdkqZdeAh7Hm8TcAJV-CIlD4Ww5znjXKBsvnqSIY_85XgJ76KU--GP0zGvZD2NHIE4gj1NQNRRiIZsTUHoh37H9XeX9y14UopTNHvtEdC8EVFKUH9mebHQD0FT77O_tCvlEyKPnv8OwtJuYkPveboj7mPgfuwyD7XlCFwca0-TGEAceBv4Y15jnMK52EI04RAo0V2Obz2MKjvtA49TbM245TWkZXGZHdKshPEz4mX3wtic8fF0P2N3Vt9vLH8X1zfefl-fXhVMgZdEKX1dO1Z0TnURcKN2UEuuqbX0rauW7rqq0t6622mHtHbgSrLZgnSgraMrygH2dczcp5mtpNOtADvveDhgnMqBVnUGlIaNf_kHv45TyC8nk_wMJpVZNpk5nyqVIlNCbTQprm54MCLO1Y7YuzNaFebGTO45fc6d2jd2Of9ORgcUMPIYen_6XZy5-3czBz3Tim4Q</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Pope, RJ</creator><creator>Brown, RH</creator><creator>Chipungu, E</creator><creator>Hollier, LH</creator><creator>Wilkinson, JP</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201805</creationdate><title>The use of Singapore flaps for vaginal reconstruction in women with vaginal stenosis with obstetric fistula: a surgical technique</title><author>Pope, RJ ; Brown, RH ; Chipungu, E ; Hollier, LH ; Wilkinson, JP</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4122-b0f76c47dc0d2ee549832e76bbfb074fdd669fac7a9ce7fc1c31a9a1ac0361833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Collaboration</topic><topic>Constriction, Pathologic - etiology</topic><topic>Constriction, Pathologic - surgery</topic><topic>Female</topic><topic>Fistula</topic><topic>Fistulae</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Innervation</topic><topic>Obstetric fistula</topic><topic>Obstetrics</topic><topic>Plastic surgery</topic><topic>Plastics</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - etiology</topic><topic>Pregnancy Complications - pathology</topic><topic>Pregnancy Complications - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Sexual disorders</topic><topic>sexual dysfunction</topic><topic>Skin & tissue grafts</topic><topic>Stenosis</topic><topic>Surgical Flaps</topic><topic>Surgical techniques</topic><topic>Treatment Outcome</topic><topic>Vagina</topic><topic>Vagina - pathology</topic><topic>Vagina - surgery</topic><topic>vaginal reconstruction</topic><topic>Vesicovaginal Fistula - complications</topic><topic>Vesicovaginal Fistula - pathology</topic><topic>Vesicovaginal Fistula - surgery</topic><topic>vesico‐vaginal fistula</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pope, RJ</creatorcontrib><creatorcontrib>Brown, RH</creatorcontrib><creatorcontrib>Chipungu, E</creatorcontrib><creatorcontrib>Hollier, LH</creatorcontrib><creatorcontrib>Wilkinson, JP</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pope, RJ</au><au>Brown, RH</au><au>Chipungu, E</au><au>Hollier, LH</au><au>Wilkinson, JP</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of Singapore flaps for vaginal reconstruction in women with vaginal stenosis with obstetric fistula: a surgical technique</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2018-05</date><risdate>2018</risdate><volume>125</volume><issue>6</issue><spage>751</spage><epage>756</epage><pages>751-756</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><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.
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Gynecologic & plastic surgeons collaborate to improve vaginal reconstruction for women with obstetric fistula.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28981186</pmid><doi>10.1111/1471-0528.14952</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | The use of Singapore flaps for vaginal reconstruction in women with vaginal stenosis with obstetric fistula: a surgical technique |
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