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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: Jun 2, 2026

Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Gracilis Muscle Transposition for Recurrent Rectovaginal Fistula.

Emily S Johnson1, Katherine L Dengler1, Ximena A Pinell2

  • 1Walter Reed National Military Medical Center, Bethesda, MD.

Journal of Minimally Invasive Gynecology
|May 31, 2026
PubMed
Summary
This summary is machine-generated.

Gracilis muscle transposition effectively repairs recurrent rectovaginal fistulas (RVF). This collaborative technique with plastic surgery offers a successful solution for complex cases, enhancing patient outcomes.

Keywords:
Rectovaginal fistulagracilis muscle flapvaginal surgery

Related Experiment Videos

Last Updated: Jun 2, 2026

Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Area of Science:

  • Urogynecology
  • Plastic Surgery
  • Surgical Techniques

Background:

  • Recurrent rectovaginal fistula (RVF) presents a significant challenge after primary repair failure.
  • Existing surgical options include Martius flap, endorectal advancement flap, and gracilis muscle transposition.
  • Gynecologists may find gracilis muscle transposition complex, necessitating multidisciplinary collaboration.

Purpose of the Study:

  • To demonstrate a gracilis muscle transposition technique for recurrent RVF repair.
  • To highlight the collaborative approach between urogynecology and plastic surgery.
  • To provide a step-by-step guide for this complex procedure.

Main Methods:

  • Video demonstration of gracilis muscle transposition for recurrent RVF.
  • Detailed narration of key procedural steps.
  • Case presentation of a 76-year-old female with recurrent RVF.

Main Results:

  • Successful secondary repair of recurrent RVF using gracilis muscle transposition.
  • Demonstration of a complex case managed collaboratively.
  • Highlighting key procedural steps for improved surgeon comfort.

Conclusions:

  • Gracilis muscle transposition is a viable and successful option for recurrent RVF repair.
  • Collaboration with plastic surgery is crucial for implementing this technique.
  • This approach can improve surgeon confidence and patient outcomes in complex RVF cases.