VVF is frustrating for the patient as well as for the treating surgeons. Patient is miserable as she is wet all the time. Simple fistulas can be taken care of with routine methods. It is the complicated fistulas which need vascularised tissue to bring in between vagina and bladder. So far omentum, gracillis and bulbo-cavernous has been used with varying degree of success. In this case, TFL (tensor fascia lata) musculo-fascialvascularised flap was used, its advantages and disadvantages are discussed.
Impact Factor
2022: 6.012
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