{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:31:40Z","timestamp":1790555500077,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T00:00:00Z","timestamp":1172793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Objective\u2002<\/jats:bold>\n                    The treatment of ano\u2010 or rectovaginal fistula is still difficult. The use of the Martius flap is well described as an adjunctive technique in their repair. We report our experience of a modified Martius flap in the management of ano\u2010 or rectovaginal fistula.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Method\u2002<\/jats:bold>\n                    This is a retrospective study of 14 women presenting with an anovaginal (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20039) or rectovaginal fistula (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20035). All were treated by a modified Martius graft. The aetiology included Crohn's disease (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20037), ulcerative colitis (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20034), radio\u2010induced (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20031), obstetric (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20031) and villous tumour (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u20031).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    All 14 fistulas healed within the 3\u2003months after surgery. Subsequently, two patients with Crohn's disease required an abdominoperineal resection owing to progressive anal lesions. Two other patients experienced faecal incontinence which improved with functional rehabilitation treatment.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion\u2002<\/jats:bold>\n                    A modified Martius flap is a valuable option in the treatment of ano\u2010 or rectovaginal fistula. In the case of Crohn's disease, however, the prognosis depends primarily on subsequent clinical evolution of the condition.\n                  <\/jats:p>","DOI":"10.1111\/j.1463-1318.2007.01232.x","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T13:21:33Z","timestamp":1172841693000},"page":"653-656","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Treatment of anovaginal or rectovaginal fistulas with modified Martius graft"],"prefix":"10.1111","volume":"9","author":[{"given":"K.","family":"Songne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Scott\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Lubrano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Huet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Lef\u00e9bure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Surlemont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Leroy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Michot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"T\u00e9ni\u00e8re","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,3,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(02)00055-5"},{"key":"e_1_2_6_3_2","first-page":"480","article-title":"Die operative Widerherstellung der volkommen fehlenden Harnorare und des Schliessmuskls derslben","volume":"52","author":"Martius H.","year":"1928","journal-title":"Zentralbl Gynakol"},{"key":"e_1_2_6_4_2","first-page":"727","article-title":"The use of modified Martius graft as an adjunctive technique in vesicovaginal and rectovaginal fistula repair","volume":"75","author":"Elkins TE","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_5_2","first-page":"410","article-title":"Labial fat pad grafts (modified Martius graft in complex perianals fistulas","volume":"80","author":"Pinedo G","year":"1998","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_6_2","first-page":"259","volume-title":"Pelvip\u00e9rin\u00e9ologie","author":"Barton JR","year":"2005"},{"key":"e_1_2_6_7_2","first-page":"128","article-title":"D\u00e9finition, classification et bilan des fistules recto vaginales","volume":"7","author":"Lehur PA","year":"2000","journal-title":"Hepatogastroenterolgy"},{"key":"e_1_2_6_8_2","first-page":"114","article-title":"Use of bulbocavernous muscle (Martius procedure) for repair of radiation induced rectovaginal fistulas","volume":"60","author":"White AJ","year":"1982","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02239436"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-7249-y"},{"key":"e_1_2_6_11_2","first-page":"1002","article-title":"Rectovaginal fistulas with Crohn disease. Therapy and prognosis","volume":"115","author":"Herzog L","year":"1998","journal-title":"Langenbecks Arch Chir Suppl Kongress"},{"key":"e_1_2_6_12_2","first-page":"148","article-title":"Full\u2010thickness grafts to preserve vaginal depth as an adjunct in the repair of large obstetric fistulas","volume":"84","author":"Margolis T","year":"1994","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(96)00420-5"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00341278"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554504"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236270"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800791247"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2007.01232.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2007.01232.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T13:40:45Z","timestamp":1696858845000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2007.01232.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,3,2]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2007,9]]}},"alternative-id":["10.1111\/j.1463-1318.2007.01232.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2007.01232.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,3,2]]},"assertion":[{"value":"2007-03-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}