Martius flap: historical and anatomical considerations

Colgajo de Martius como tratamiento de una fístula rectovaginal recidivada. Revisión de la técnica quirúrgica a propósito de un caso clínico.

“…La técnica fue descrita por Martius en el tratamiento de fístulas uretro-vaginales y modificada posteriormente para el tratamiento de FRV. El concepto clave es la interposi-ción entre dos epitelios de un tejido vital, en nuestro caso a nivel del tabique rectovaginal, que facilite la neoformación vascular y permita la cicatrización de la zona perineal en donde se encontraba la fístula, evitando así su recanalización 6,8,10,11 .…”

Martius graft for TOT extrusion: a case series

“…The Martius flap is Ba pedicled flap containing the labium major fat pad as an anatomical unit^ [7]. In this series, a longitudinal incision was made on one labium major and subsequent dissection mobilised the labial fat pad, keeping it attached to its base, thus preserving its vascular supply.…”

How and why to take a Martius labial interposition flap in female urology

“…In 1928 Martius described a labial flap of bulbocavernosus muscle for urethrovaginal fistula repair (1), which was later modified multiple times, and in modern usage generally refers to a labium majora fat pad flap without muscle (2). …”

“…The Martius modified labial fat pad flap (MMLFPF, referred to commonly as the Martius flap) remains the simplest and most versatile interposition tissue for complex vaginal surgery. In 1928 Martius described a labial flap of bulbocavernosus muscle for urethrovaginal fistula repair ( 1 ), which was later modified multiple times, and in modern usage generally refers to a labium majora fat pad flap without muscle ( 2 ).…”