Short gracilis myocutaneous flaps for vulvovaginal reconstruction after radical pelvic surgery.


:The short gracilis myocutaneous flap derives its blood supply from terminal branches of the obturator artery, and the vascular pedicle derived from the medial femoral circumflex artery is sacrificed. Twenty-one short gracilis myocutaneous flaps were used for vulvovaginal reconstructions in 11 patients undergoing radical pelvic surgery: bilateral flaps in nine patients for neovaginal construction after pelvic exenterations, bilateral flaps in one patient for vulvovaginal reconstruction after radical vulvovaginectomy, and a unilateral flap in one patient for vulvovaginal reconstruction after radical vulvectomy with partial vaginectomy. Major complications consisted of bilateral flap necrosis occurring in one patient who had received preoperative irradiation to the vulva and groin combined with chemotherapy. Minor degrees of necrosis (less than 5%) and/or separation of vaginal suture lines occurred in five patients without marked loss of the flaps. Vaginal caliber and depth are excellent in ten patients (91%) after follow-up of 1-22 months. The short gracilis flap is an excellent alternative to the more bulky gracilis flap, which derives its blood supply from perforating branches of the femoral artery. Based on our experience, the short gracilis flap provides adequately vascularized tissue for vulvovaginal reconstruction in patients after radical pelvic surgery, but should not be used in patients who have received extensive groin irradiation.


Obstet Gynecol


Soper JT,Larson D,Hunter VJ,Berchuck A,Clarke-Pearson DL


Has Abstract


1989-11-01 00:00:00














  • Uterine papillary serous carcinoma.

    abstract::Reviewed are 37 patients with the diagnosis of uterine papillary serous carcinoma. Clinically, 19 patients presented as stage I, 9 as stage II, 1 as stage III, and 8 as stage IV. Four of 18 patients with clinical stage I disease who underwent surgery had pelvic metastases and five had disease spread beyond the pelvis....

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Chambers JT,Merino M,Kohorn EI,Peschel RE,Schwartz PE

    更新日期:1987-01-01 00:00:00

  • Gonadal calcification. Indication for gonadectomy in gonadal dysgenesis.

    abstract::Germ cell tumors, including gonadoblastoma, are usually found in patients with gonadal dysgenesis who have Y chromatin in their genotype. Diffuse calcification is a common finding in gonadoblastomas. Bilateral calcifications in the gonadal sites were seen on the intravenous pyelogram of a patient with 46,XX pure gonad...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Schiller PJ,Tagatz GE

    更新日期:1976-10-01 00:00:00

  • Reversal of alcohol-induced learning deficits in the young adult in a model of fetal alcohol syndrome.

    abstract:OBJECTIVE:To evaluate whether treatment with neuroprotective peptides to young adult mice prenatally exposed to alcohol reverses alcohol-induced learning deficits in a mouse model of fetal alcohol syndrome, whether the mechanism involves the N-methyl-d-aspartate (NMDA) and gamma-aminobutyric acid type A (GABAA) recepto...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Incerti M,Vink J,Roberson R,Wood L,Abebe D,Spong CY

    更新日期:2010-02-01 00:00:00

  • Transcervical Foley catheter with and without extraamniotic saline infusion for labor induction: a randomized controlled trial.

    abstract:OBJECTIVE:To compare the efficacy of transcervical Foley catheter alone (Foley) to transcervical Foley catheter with extraamniotic saline infusion for labor induction and cervical ripening in women with an unfavorable cervix. METHODS:This was a multicenter, randomized, controlled trial of women presenting for labor in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Lin MG,Reid KJ,Treaster MR,Nuthalapaty FS,Ramsey PS,Lu GC

    更新日期:2007-09-01 00:00:00

  • Subclinical spontaneous abortion.

    abstract::Blood samples were obtained from 5 women during the menstrual cycle in which they had conceived. Although neither the women nor their physicians were clinically aware that conception had occurred, one or more of the blood specimens from each woman contained human chorionic gonadotropin (hCG), as measured by a specific...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Braunstein GD,Karow WG,Gentry WD,Wade ME

    更新日期:1977-07-01 00:00:00

  • Perinatal mortality and antepartum risk scoring.

    abstract::A simplified, numerical form for antepartum risk scoring was introduced as a component of the prenatal record for use in all pregancies in a large geographic area under a variety of collection practices. In a population of approximately 1,000,000 with 16,733 deliveries, 19% of the pregnant population scored greater th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Morrison I,Olsen J

    更新日期:1979-03-01 00:00:00

  • Committee Opinion No. 718 Summary: Update on Immunization and Pregnancy: Tetanus, Diphtheria, and Pertussis Vaccination.

    abstract::The overwhelming majority of morbidity and mortality attributable to pertussis infection occurs in infants who are 3 months and younger. Infants do not begin their own vaccine series against pertussis until approximately 2 months of age. This leaves a window of significant vulnerability for newborns, many of whom cont...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引



    更新日期:2017-09-01 00:00:00

  • Pharmacokinetic and hemodynamic effects of caffeine in the pregnant sheep.

    abstract::Caffeine citrate in doses of 6.96 mg/kg (equivalent to 3.50 mg/kg of caffeine) of combined maternal and fetal weight and 69.6 mg/kg (35.0 mg/kg of caffeine) was administered in 1-dl solutions intravenously over ten minutes to chronically prepared pregnant sheep. The ewes and their fetuses were monitored for cardiovasc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Wilson SJ,Ayromlooi J,Errick JK

    更新日期:1983-04-01 00:00:00

  • Fracture healing in estrogen-treated and castrated rats.

    abstract::The healing of a midfibular fracture was studied in mature rats. The strength of the healing fracture was determined by a constant speed-driven tensiometer which measured the force required to separate the healing callus. The breaking strength of the healing experimental fracture was ascertained in control, estrogen-t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Blythe JG,Buchsbaum HJ

    更新日期:1976-09-01 00:00:00

  • ACOG Practice Bulletin No. 111: Inherited thrombophilias in pregnancy.

    abstract::Inherited thrombophilias are associated with an increased risk of venous thromboembolism and also have been linked to adverse outcomes in pregnancy. However, there is limited evidence to guide screening for and management of these conditions in pregnancy. The purpose of this document is to review common thrombophilias...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章



    更新日期:2010-04-01 00:00:00

  • Antenatal Corticosteroid Therapy Before 24 Weeks of Gestation: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To evaluate the effectiveness of antenatal corticosteroids compared with placebo or no treatment in neonates born before 24 weeks of gestation. DATA SOURCES:We searched MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Central Register of Controlled Trials datab...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析,评审


    authors: Park CK,Isayama T,McDonald SD

    更新日期:2016-04-01 00:00:00

  • Perforation of the uterus and partial extrusion of a Lippes loop. Report of a case.

    abstract::This is a case report of a woman having an IUD which became partially extruded through the uterine wall and went undetected until the patient became pregnant. Severe metritis followed premature rupture of the membranes during the early part of the third trimester. Cesarean section hysterectomy led to a salutary outc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Post DF

    更新日期:1969-12-01 00:00:00

  • Brain tumor and pregnancy.

    abstract:OBJECTIVE:To establish the indications for surgical intervention, at the appropriate gestational duration, for brain tumors in pregnant women, and to evaluate any association pregnancy hormones may have with the rate of growth or development of complications of brain tumors. METHODS:We observed seven women with brain ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Isla A,Alvarez F,Gonzalez A,García-Grande A,Perez-Alvarez M,García-Blazquez M

    更新日期:1997-01-01 00:00:00

  • Potential Effects of Regionalized Maternity Care on U.S. Hospitals.

    abstract:OBJECTIVE:To examine the current patterns of care for women at high risk for delivery-related morbidity to inform discussions about the feasibility of this regionalized approach. METHODS:We performed a cross-sectional study and linked 2014 American Hospital Association survey and State Inpatient Database data from sev...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Easter SR,Robinson JN,Menard MK,Creanga AA,Xu X,Little SE,Bateman BT

    更新日期:2019-09-01 00:00:00

  • Outcome of pregnancies with vertical transmission of primary cytomegalovirus infection.

    abstract:OBJECTIVE:To study the outcome of 50 pregnancies with documented vertical transmission of cytomegalovirus infection. METHODS:We recruited 50 pregnant women (51 fetuses) with primary cytomegalovirus infection and confirmed in utero transmission. Prenatal evaluation included diagnostic amniocentesis and repeated ultraso...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Lipitz S,Achiron R,Zalel Y,Mendelson E,Tepperberg M,Gamzu R

    更新日期:2002-09-01 00:00:00

  • Trends in squamous cell carcinoma of the vulva: the influence of vulvar intraepithelial neoplasia.

    abstract:OBJECTIVE:To determine trends in the clinicopathology of vulvar squamous cell carcinoma over the past 2 decades, with particular reference to the possible effects of the increasing incidence of vulvar intraepithelial neoplasia (VIN) during this time. METHODS:Two cohorts of 56 and 57 women with squamous cell carcinoma ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Jones RW,Baranyai J,Stables S

    更新日期:1997-09-01 00:00:00

  • Acute common peroneal neuropathy due to hand positioning in normal labor and delivery.

    abstract:BACKGROUND:Foot drop has been described as an infrequent complication from common peroneal nerve injury related to external compression and forceful knee flexion while pushing during vaginal delivery. Past recommendations include placing the hands at the posterior thighs rather than the legs to avoid this complication....

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Radawski MM,Strakowski JA,Johnson EW

    更新日期:2011-08-01 00:00:00

  • Antimüllerian hormone as a predictor of natural fecundability in women aged 30-42 years.

    abstract:OBJECTIVE:To generate estimates of the association between markers of ovarian aging and natural fertility in a community sample at risk for ovarian aging. METHODS:Women aged 30-44 years with no history of infertility who had been trying to conceive for less than 3 months provided early-follicular phase serum and urine...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Steiner AZ,Herring AH,Kesner JS,Meadows JW,Stanczyk FZ,Hoberman S,Baird DD

    更新日期:2011-04-01 00:00:00

  • Advising and Interview Patterns of Medical Students Pursuing Obstetrics and Gynecology Residency.

    abstract:OBJECTIVE:To describe the advising practices at medical schools and interview patterns among medical students pursuing obstetrics and gynecology residency training. METHODS:A voluntary, anonymous survey was distributed to all applicants interviewing for obstetrics and gynecology residency during the 2014-2015 cycle at...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Alston MJ,Autry AM,Wagner SA,Allshouse AA,Stephenson-Famy A

    更新日期:2016-10-01 00:00:00

  • Letrozole Compared With Clomiphene Citrate for Unexplained Infertility: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To estimate the clinical effectiveness, as determined by positive pregnancy test, of letrozole compared with clomiphene citrate for ovarian stimulation in patients with unexplained infertility. DATA SOURCES:We conducted a systematic review and meta-analysis of data from electronic databases including Ovid-ME...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析


    authors: Eskew AM,Bedrick BS,Hardi A,Stoll CRT,Colditz GA,Tuuli MG,Jungheim ES

    更新日期:2019-03-01 00:00:00

  • Implementation of a Pelvic Floor Physical Therapy Program for Transgender Women Undergoing Gender-Affirming Vaginoplasty.

    abstract:OBJECTIVE:To describe the incidence of pelvic floor dysfunction in transgender women undergoing gender-affirming vaginoplasty and outcomes in a program providing pelvic floor physical therapy (PT). METHODS:We conducted a retrospective, single-institution study on vaginoplasty patients between May 1, 2016, and February...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Jiang DD,Gallagher S,Burchill L,Berli J,Dugi D 3rd

    更新日期:2019-05-01 00:00:00

  • Postpartum-Specific Vital Sign Reference Ranges.

    abstract:OBJECTIVE:To estimate normal ranges for postpartum maternal vital signs. METHODS:We conducted a multicenter prospective longitudinal cohort study in the United Kingdom. We recruited women before 20 weeks of gestation without significant comorbidities and with accurately dated singleton pregnancies. Women recorded thei...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Green LJ,Pullon R,Mackillop LH,Gerry S,Birks J,Salvi D,Davidson S,Loerup L,Tarassenko L,Mossop J,Edwards C,Gauntlett R,Harding K,Chappell LC,Knight M,Watkinson PJ

    更新日期:2021-02-01 00:00:00

  • Effect of vaginal lubricants on natural fertility.

    abstract:OBJECTIVE:Over-the-counter vaginal lubricants have been shown to negatively affect in vitro sperm motility. The objective of this study was to estimate the effect of vaginal lubricant use during procreative intercourse on natural fertility. METHODS:Women aged 30-44 years with no history of infertility who had been try...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Steiner AZ,Long DL,Tanner C,Herring AH

    更新日期:2012-07-01 00:00:00

  • Maternal hydration increases amniotic fluid index in women with normal amniotic fluid.

    abstract:OBJECTIVE:To test the hypothesis that maternal oral hydration would increase the amniotic fluid (AF) index in pregnancies with normal AF. METHODS:Forty women with a normal AF index (7.0-24.0 cm) were randomized to either the control or hydration group. Women in the hydration group drank 2 L of water and returned for t...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Kilpatrick SJ,Safford KL

    更新日期:1993-01-01 00:00:00

  • Is routine hemoglobin and hematocrit testing on admission to labor and delivery needed?

    abstract:OBJECTIVE:Testing hemoglobin and hematocrit values in labor and delivery at term is a routine practice at many centers. This necessity was evaluated by comparing values obtained at 26-28 weeks versus those obtained at term. MATERIALS:This is a prospective, observational study. All patients at least 37 weeks presenting...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Sherard GB 3rd,Newton ER

    更新日期:2001-12-01 00:00:00

  • A second-stage partogram.

    abstract:OBJECTIVE:To describe a second-stage partogram based on a system of scoring the descent and position of the fetal head and to use this system for studying progress in the second stage of labor and predicting mode of delivery and obstetric outcome. METHODS:A prospective observational study of 1413 women at term with a ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Sizer AR,Evans J,Bailey SM,Wiener J

    更新日期:2000-11-01 00:00:00

  • The effect of magnesium sulfate on fetal heart rate baseline variability.

    abstract::Variability of the baseline fetal heart rate is correlated with good fetal outcome, and loss of baseline variability has been observed as a sign of fetal distress. Central nervous system depressing drugs may also decrease fetal heart rate variability, and thus recognition of the effect of medication on the baseline fe...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Babaknia A,Niebyl JR

    更新日期:1978-01-01 00:00:00

  • Medical liability reform: a case study of Mississippi.

    abstract::Mississippi enacted medical negligence and other tort reform legislation that generally became effective for causes of action filed on or after January 1, 2003, and September 1, 2004. Data regarding lawsuits against physicians insured by the Medical Assurance Company of Mississippi (MACM), the largest medical liabilit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Behrens MA

    更新日期:2011-08-01 00:00:00

  • Urinary prostacyclin and thromboxane metabolites in drinking pregnant women and in their infants: relations to the fetal alcohol effects.

    abstract::To study the effect of maternal ethanol consumption on the production of prostacyclin and thromboxane, we measured urinary 6-keto-prostaglandin F1 alpha (a hydration product of prostacyclin), 2,3-dinor-6-keto-prostaglandin F1 alpha (generated from 6-keto-prostaglandin F1 alpha through beta oxidation), and thromboxane ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Ylikorkala O,Halmesmäki E,Viinikka L

    更新日期:1988-01-01 00:00:00

  • Needle laparoscopy in patients with suspected bowel adhesions.

    abstract::Suspected bowel adhesions are generally considered to be a contraindication to laparoscopy. Among 32 patients who were refused laparoscopy for that reason, only 1 patient was found to have adhesions at laparotomy. To attempt preoperative diagnosis of intraabdominal adhesions, needle laparoscopy was performed in 21 pat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Cook WA

    更新日期:1977-01-01 00:00:00