Clinical significance of muscle sparing verticle rectus abdominis myocutaneous flap for vaginal reconstruction

VernacularTitle:含部分肌肉的纵行腹直肌肌皮瓣阴道形成术
Author: Weiwei LI ; Zhifei LIU ; Ang ZENG ; Lin ZHU ; Qun QIAO
Publication Type:Journal Article
Keywords: Vaginal reconstruction; Muscle sparing verticle rectus abdominis myocutaneous flap (MS-VRAM flap)
From: Chinese Journal of Medical Aesthetics and Cosmetology 2009;15(3):176-179
CountryChina
Language:Chinese
Abstract: Objective To evaluate the method for vaginal treconstruction with muscle sparing verti-cle rectus abdominis myocutaneous flap(MS-VRAM flap). Methods From September 2006 to April 2008, MS-VRAM flaps were used for vaginal reconstruction in 9 patients (20 to 35 years old), ancl all ca-ses were congenital absence of vagina. Before operation, the inferior epigastrie arteries were detected by the Doppler and the flaps based on the perforators ranged from 6 cm×20 cm. MS-VRAM flaps were ele-vated and then transferred to reconstruct the vagina. Results All 9 cases of MS-VRAM flaps survived completely. No complications occurred at donor site of abdominal wall. With 2-12 months' follow-up, the patients were satisfied with the results. Conclusion Despite technical difficulties in elevating the MS-VRAM flap, the flap is a good choice for vaginal reconstruction.