Novel use of the rectus abdominus muscle flap for vaginal reconstruction in complex obstetric fistula repair: A case series

Abstract Objective Globally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post‐operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair. Design Retrospective case series. Setting Malawi, Fistula Care Centre. Methods Patients were followed for 3 months after discharge to determine continence and healing. Results Five of six patients were continent at 3 months and one was lost to follow‐up by dry at a one month post‐operative phone call. There were no major complications. Conclusions The rectus abdominus flap may be a useful adjunct to repair of complex obstetric fistula.