{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T11:40:49Z","timestamp":1765280449668,"version":"3.44.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Globally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post\u2010operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Malawi, Fistula Care Centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were followed for 3\u2009months after discharge to determine continence and healing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five of six patients were continent at 3\u2009months and one was lost to follow\u2010up by dry at a one month post\u2010operative phone call. There were no major complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The rectus abdominus flap may be a useful adjunct to repair of complex obstetric fistula.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17926","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T23:49:21Z","timestamp":1723160961000},"page":"6-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Novel use of the rectus abdominus muscle flap for vaginal reconstruction in complex obstetric fistula repair: A case series"],"prefix":"10.1111","volume":"132","author":[{"given":"Tulsi","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodger","family":"Brown","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ennet","family":"Chipungu","sequence":"additional","affiliation":[{"name":"Freedom from Fistula Foundation, Obstetrics and Gynecology  Lilongwe Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Breen","sequence":"additional","affiliation":[{"name":"Freedom from Fistula Foundation, Obstetrics and Gynecology  Toamasina Madagascar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Draganchuk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Nampandeni","sequence":"additional","affiliation":[{"name":"Freedom from Fistula Foundation, Obstetrics and Gynecology  Lilongwe Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Awol","family":"Legesse","sequence":"additional","affiliation":[{"name":"Freedom from Fistula Foundation, Obstetrics and Gynecology  Freetown Sierra Leone"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3816-8821","authenticated-orcid":false,"given":"Jeffrey","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"volume-title":"Obstetric fistula: guiding principles for clinical management and programme development","year":"2006","key":"e_1_2_12_2_1"},{"volume-title":"Obstetric fistula","year":"2024","key":"e_1_2_12_3_1"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2023.1188809"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0367-z"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.027"},{"key":"e_1_2_12_7_1","first-page":"1","article-title":"The rectus abdominus myoperitoneal flap for vaginal reconstruction","volume":"32","author":"Gupta V","year":"2020","journal-title":"Gynecol Oncol Rep"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000149484.05957.C4"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1202-5"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000745"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13038"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12643"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14953"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.06.040"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588411X572268"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.01.032"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2008.00831.x"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200204150-00016"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200105000-00017"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T07:13:50Z","timestamp":1755846830000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.17926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,8]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/1471-0528.17926"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.17926","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"type":"print","value":"1470-0328"},{"type":"electronic","value":"1471-0528"}],"subject":[],"published":{"date-parts":[[2024,8,8]]},"assertion":[{"value":"2024-04-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}