Labial skin-flap vaginoplasty using tissue expanders.

Abstract:

:In severe vaginal malformations, when the distance between the upper vaginal pouch and perineum is too long (6 cm or more), reconstruction of the vagina can be performed by colonic interposition or by long cutaneous flaps obtained by the tissue expansion technique. Two female adolescents were treated using expanded labial skin flaps. Dissection and anastomosis between the vaginal remnant and cutaneous tube was performed by the transtrigonal approach. Results were satisfactory at 2.5-year follow-up. In our opinion, expanded labial skin-flap vaginoplasty has three main advantages: (1) it permits the construction of a large, soft, well-vascularized neovagina using non-hair-bearing labial skin; (2) it obviates postoperative dilations and prevents delayed strictures; and (3) a transtrigonal approach permits an easy vaginal dissection and a careful, tension-free anastomosis.

journal_name

Pediatr Surg Int

authors

Belloli G,Campobasso P,Musi L

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

168-71

issue

2-3

eissn

0179-0358

issn

1437-9813

journal_volume

12

pub_type

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