[Myoperitoneal composite flaps: a new surgical principle for vaginal reconstruction].

Abstract:

:In spite of the development of various techniques for the formation of a neovagina, the longterm results are often disappointing, especially if the simpler methods (dilation, ectopic pouch formation, epithelium transfer) have been applied. The more complex surgical techniques such as musculo/fasciocutaneous and colon flaps are associated with a significant risk of severe complications. For certain operative situations necessitating vaginal reconstruction, adequate procedures are still missing. Based on surgico-anatomic investigation of the vascular territories of the myoperitoneal anterior abdominal wall, we introduce the use of myoperitoneal composite flaps from the deep inferior epigastric artery angiosome as a novel surgical principle for vaginal reconstruction and report on the experience with the first two patients.

authors

Höckel M,Konerding MA,Baussmann E,Weikel W,Wilkens C,Knapstein PG

doi

10.1055/s-2007-1023312

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

247-51

issue

5

eissn

0016-5751

issn

1438-8804

journal_volume

55

pub_type

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