Transverse Singapore Flap for Reconstruction of a Congenital Rectovaginal Fistula in an 18-Month-Old Infant ANNALS OF PLASTIC SURGERY Lee, D. T., Lee, G. K. 2009; 63 (6): 650-653


Many different types of flaps have been used for reconstruction of rectovaginal fistulae. This is the first report of using a transverse Singapore flap for repairing a large 3 cm by 3-cm complex congenital rectovaginal fistula in an 18-month-old infant with VATER syndrome. A right transverse Singapore flap was used to reconstruct both the posterior wall of the vagina and the anterior wall of the rectum while simultaneously joining the 2 structures to the perineum. Despite minor postoperative delayed healing which resolved, the patient has maintained a functionally and cosmetically satisfactory result at 20-month follow-up. For complex rectovaginal fistulae reconstruction in the pediatric patient, the transverse Singapore flap is a reliable and viable option for the reconstructive surgeon.

View details for DOI 10.1097/SAP.0b013e31819ae002

View details for Web of Science ID 000272316400016

View details for PubMedID 19816154