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Gracilis Muscle Interposition

Gracilis muscle flap interposition can be considered when the fistula is complex, repeatedly recurrent, or combined with radiation damage or significant tissue defects. Whether a protective stoma is needed depends on the degree of contamination, sphincter function, underlying diseases, and individua

24-72h

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Approx. $5,800

Treatment fee

Included support

  • +Hospital matching
  • +Record review
  • +Care coordination
  • +Travel support
  • +Interpretation support

Not included

  • -Treatment fee
  • -Travel costs
  • -Optional extras

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Peking Union Medical College Hospital - Beijing - Grade 3A

Ruijin Hospital - Shanghai - Grade 3A

West China Hospital - Chengdu - Grade 3A

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Let us coordinate the treatment journey with you.

1

How Gracilis Muscle Interposition is performed

This procedure is often used for complex or recurrent fistulas. Typically, the gracilis muscle is dissected from the inner thigh under anesthesia, maintaining its blood supply, and a subcutaneous tunnel is created to the perineum. The muscle flap is placed between the rectum and vagina as an interposition, and related tissues are closed in layers; temporary fecal diversion can be considered if contamination is severe or decompression is needed. Imaging or perfusion techniques can be used intraoperatively to assess muscle flap viability. Postoperative monitoring focuses on lower limb function, incision and muscle flap perfusion, and, if a stoma is created, its function, with the goal of isolating the fistula tract and promoting healing. The above is general health information, not medical advice; specific details depend on specialist assessment and hospital protocols.

What is Gracilis Muscle Interposition?

This procedure is often used for complex or recurrent fistulas. Typically, the gracilis muscle is dissected from the inner thigh under anesthesia, maintaining its blood supply, and a subcutaneous tunnel is created to the perineum. The muscle flap is placed between the rectum and vagina as an interposition, and related tissues are closed in layers; temporary fecal diversion can be considered if contamination is severe or decompression is needed. Imaging or perfusion techniques can be used intraoperatively to assess muscle flap viability. Postoperative monitoring focuses on lower limb function, incision and muscle flap perfusion, and, if a stoma is created, its function, with the goal of isolating the fistula tract and promoting healing. The above is general health information, not medical advice; specific details depend on specialist assessment and hospital protocols.

How is Gracilis Muscle Interposition performed?

Step 1

How Gracilis Muscle Interposition is performed

This procedure is often used for complex or recurrent fistulas. Typically, the gracilis muscle is dissected from the inner thigh under anesthesia, maintaining its blood supply, and a subcutaneous tunnel is created to the perineum. The muscle flap is placed between the rectum and vagina as an interposition, and related tissues are closed in layers; temporary fecal diversion can be considered if contamination is severe or decompression is needed. Imaging or perfusion techniques can be used intraoperatively to assess muscle flap viability. Postoperative monitoring focuses on lower limb function, incision and muscle flap perfusion, and, if a stoma is created, its function, with the goal of isolating the fistula tract and promoting healing. The above is general health information, not medical advice; specific details depend on specialist assessment and hospital protocols.

How Gracilis Muscle Interposition is performed

Recovery process

Step 1

Recovery and stay

Preoperative assessment, hospitalization, and postoperative follow-up usually require 4–6 weeks in total; if a second-stage stoma closure is planned, the time will be arranged separately and is subject to actual assessment.

Recovery and stay

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Tell us about your Rectovaginal Fistula case and we will help match you with the right hospital, specialist, and travel pathway.

Frequently asked questions

How do I get started?
Submit a free evaluation request with your diagnosis and records. The team reviews your case and suggests suitable next steps.
Do I need a visa to travel to China for treatment?
Many patients do. We can help explain what documents are normally needed for treatment travel planning.
Will there be a language barrier?
Medical interpretation can be arranged for consultations and treatment visits.
How much does treatment cost?
Costs depend on the procedure, hospital, and treatment pathway. A practical estimate is provided before travel.
What happens after I return home?
We can help coordinate remote follow-up and keep communication open with your care team.