A case of recto-vaginal obstetrical fistula treated by the Martius lamp, seen at Befelatanana Madagascar

Rainibarijaona Lanto; Rakotonirina Martial; Rakotozanany Besaina; Ratsiatosika Tanjona; Randriamahavonjy Romuald; Andrianampanalinarivo Rakotovao Hery

doi:10.18203/2320-1770.ijrcog20202758

Authors

Rainibarijaona Lanto Department of Gynecology Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
Rakotonirina Martial Department of Gynecology Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
Rakotozanany Besaina Department of Gynecology Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
Ratsiatosika Tanjona Department of Gynecology Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar
Randriamahavonjy Romuald Department of Gynecology Obstetrics, Soavinandriana Hospital Center, Antananarivo, Madagascar
Andrianampanalinarivo Rakotovao Hery Department of Gynecology Obstetrics, Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo, Madagascar

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20202758

Keywords:

Martius flap, Obstetrical trauma, Perineal repair, Rectovaginal fistulas, Surgery

Abstract

The rectovaginal fistulas are a pathological epithelialized communication between the vagina and the rectum, its frequency is 10 to 30%, and it is a disabling pathology because of the social repercussion. Many flap techniques have been described but the aim is to present a simple procedure according to a particular technique called Martius. This is a case of woman presenting a low rectovaginal fistula on obstetrical trauma. The surgical technique consists of a repair according to the technique of Martius. The operative follow-up was simple and the patient was able to resume sexual activity and normal anal sphincter function. It is a simple technique, easy to achieve for the technical platform in Madagascar whose evaluation of the results for a larger population should be considered. This technique therefore deserves to be known and widely used.

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