Experience of vaginal reconstruction by using a pudendal-thigh island flaps.
- Author:
Guang-zao LI
1
;
Xin-de CHENG
;
Tian-lan ZHAO
;
Jing XU
;
Shu-xing GE
;
Huai-gu WANG
;
Xu-wen LI
Author Information
- Publication Type:Journal Article
- MeSH: Fasciotomy; Female; Groin; Gynecologic Surgical Procedures; methods; Humans; Male; Surgical Flaps; Thigh; Urethra; Vagina; abnormalities; surgery; Vulva; abnormalities; surgery
- From: Chinese Journal of Plastic Surgery 2003;19(3):183-185
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate a pudendal-thigh island flap for vaginal reconstruction.
METHODSForty-seven patients with congenital absence of vagina were undergoing the treatment. Based on the pedicle including the posterior labial neurovascular bundle, a pudendal-thigh island flap was designed and raised in the groin crease just lateral to the labia majora under the deep fascia. It was then transferred to the tunnel between the urethra and the anus for reconstruction of the vagina.
RESULTSFrom May of 1993 to July of 2001, 47 patients were successfully treated for the vaginal reconstruction with the flap. The results were satisfactory without complications.
CONCLUSIONThe above mentioned technique could be a safe and effect method for vaginal reconstruction with the advantages of reliable blood supply, good sensation and few complications. The areaes with the bilateral pudendal-thigh could be large enongh for the vaginal reconstruction without problem of the donor closure.
