1. Free microvascular transfer of the vermiform appendix and colon for creation of a uterovaginal fistula: a new technique for cervicovaginal reconstruction 
Chuan-Fei Hou, M.D., Chin-Jung Wang, M.D., Chyi-Long Lee, M.D., Hung-Chi Chen, M.D., Yung-Kuei Soong, M.D. 
Fertility and Sterility 
Volume 89, Issue 1, Pages 228.e7-228.e11 (January 2008)
DOI: /j.fertnstert
Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

2. Figure 1
The preoperative magnetic resonance image revealed a didelphic uterus, a hematometra, a right hematosalpinx, and cervical stenosis.
Fertility and Sterility  , 228.e7-228.e11DOI: ( /j.fertnstert )
Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

3. Figure 2
(A) The tail of the appendix was incised longitudinally to become bivalved. (B) Partial resection of the uterine septum was performed to create a neocervix. The bivalved appendix was inserted into the right didelphic uterine cavity and covered the neocervix. The T-tube and the right didelphic uterus were tied with 4–0 chromic sutures. The T-tube served as a stent for maintenance patency of uterovaginal fistula. The cecum was applied to the atretic cervix with interrupted 4–0 polydioxanone sutures. The stump of the colon was anastomosed to the upper end of the short vagina with interrupted 3–0 Prolene sutures. A = appendix; C = colon; and V = vagina.
Fertility and Sterility  , 228.e7-228.e11DOI: ( /j.fertnstert )
Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

4. Figure 3
Computed tomography with contrast during postoperative month 3 demonstrated no hematometra in the didelphic uterus. T = T-tube; U = didelphic uterus; C = colon; and V = vagina.
Fertility and Sterility  , 228.e7-228.e11DOI: ( /j.fertnstert )
Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions