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Onlay patch (Bricker procedure)

Onlay patch (Bricker procedure)
Colonic onlay patch (Bricker procedure) for repair of rectovaginal fistula. After colostomy, the proximal end of bypassed colon is brought down to cover the rectal defect as an onlay patch (panel A). After healing of the fistula, bowel continuity is restored by reversing the colostomy (panel B).
Modified from: Lowry AC, Hoexter B. Benign anorectal: Rectovaginal fistulas. In: The ASCRS Textbook of Colon and Rectal Surgery, 1st ed, Beck DE, Wolf BG, Fleshman JW, et al (Eds), Springer 2007.
Graphic 101764 Version 1.0

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