Vaginal reconstruction using a modified rectus abdominis musculocutaneous flap in pelvic cancer surgery
Ruiz-de-Erenchun R, Murillo J, Bazán A, Jurado M, García-Tutor E.
Department of Plastic, Reconstructive, and Esthetic Surgery, University Hospital, University of Navarra Pamplona, Spain.
Magazine: Annals of Plastic Surgery
Date: Nov 1, 2003Gynaecology and Obstetrics
The authors present a modification of the design for the classic cutaneous pattern of the rectus abdominis musculocutaneous flap for vaginal reconstruction after pelvic cancer surgery.
The authors designed a paramedial and supraumbilical dermo-cutaneous flap with paraumbilical randomized vascularization, which was sutured to the classic cutaneous TRAM flap pattern and rotated around a longitudinal axis to form the neo-introitus.
The use of this new cutaneous design allows for a perfect cylindrical shape all along the length of the new vagina, thus achieving a more anatomic reconstruction than those currently obtained with the classic cutaneous patterns, and with fewer tendencies to distal retraction, necrosis, and partial stenosis.
CITATION Ann Plast Surg. 2003 Nov;51(5):455-9
you maybe interested
The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.
The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.
Learn why we are different from other healthcare centers. Quality, speed, comfort and results.