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Surgical Case Reports
Fig. 4 | Surgical Case Reports

Fig. 4

From: Post-traumatic rectourethral fistula in an adolescent managed via a transperineal approach using a local gluteal tissue interposition flap: a case report

Fig. 4

Formation and insertion of a gluteal local tissue flap. a Triangular design of the local tissue flap. b Triangular local tissue flap after its epidermis had been dissected. c The flap was interposed between the urethra and rectum, and fixed proximally to the fistula site. d The flap fits well with no deformation or bulge. e A closed suction drain was placed below the wound, and the surgical field closed with interrupted absorbable sutures

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