Comments on the Diagnosis and Treatment of Pelvic and Perineal Defects and Fistulas and on Plastic Operations Using a Flap of the Gluteus Maximus Muscle

Abstract

In the form of a comment some aspects of diagnosis and treatment of unhealed pelvic and perineal defects and fistulas were analysed. Based on author's own experience with the treatment of 2 females with postradiation rectovaginal fistulas and 2 males with perineal sinus after proctectomy the authors discuss some advantages and technical aspects of pedunculated myoplasty by the gluteus maximus muscle.

Keywords

• Female
• Fistula
• Humans
• Male
• Middle Aged
• Pelvis
• Perineum
• Postoperative Complications
• Radiation Injuries
• Reconstructive Surgical Procedures
• Rectovaginal Fistula
• Rectum
• Surgical Flaps