Transposition des M. gracilis – eine Option bei der chirurgischen Behandlung rectovaginaler Fisteln: Transposition of the gracilis muscle – an option in the surgical treatment of rectovaginal fistulae

Abstract

Rectovaginal fistulae following low anterior resection are rare, but if present therapy is difficult. We report on a 52-year-old patient who was operated upon several times, including an endorectal advancement flap procedure and transperineal repair with levator interposition. Closure was only successful after transposition of the M. gracilis between the vagina and rectum.