scholarly journals Versatility of the free jejunum flap in vaginal reconstruction

2016 ◽  
Vol 4 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Giovanni Bistoni ◽  
Reza Alamouti ◽  
Sonia Martinez Alcaide ◽  
Luis Javier Matute Tobias ◽  
Francisco Javier Blanco Gonzalez ◽  
...  
Keyword(s):  
Vaginal Reconstruction ◽  
Free Jejunum Flap

Utilizing Full-Thickness Skin Grafts for Vaginal Reconstruction

1988 ◽  
Vol 15 (3) ◽  
pp. 443-448 ◽  
Author(s):  
Richard C. Sadove ◽  
Charles E. Horton
Keyword(s):  
Skin Grafts ◽  
Full Thickness ◽  
Vaginal Reconstruction ◽  
Full Thickness Skin ◽  
Thickness Skin

VAGINAL RECONSTRUCTION WITH GRACILIS MYOCUTANEOUS FLAPS

1976 ◽  
Vol 58 (2) ◽  
pp. 176-183 ◽  
Author(s):  
JOHN B. MCCRAW ◽  
FRED M. MASSEY ◽  
KENNETH D. SHANKLIN ◽  
CHARLES E. HORTON
Keyword(s):  
Vaginal Reconstruction ◽  
Myocutaneous Flaps

Menstrual, Sexual, and Obstetrical Outcomes after Vaginal Replacement for Vaginal Atresia Associated with Anorectal Malformation

2016 ◽  
Vol 27 (06) ◽  
pp. 495-502 ◽  
Author(s):  
Clare Skerritt ◽  
Alejandra Vilanova Sánchez ◽  
Victoria Lane ◽  
Richard Wood ◽  
Geri Hewitt ◽  
...  
Keyword(s):  
Anorectal Malformation ◽  
Outcome Data ◽  
Current Evidence ◽  
Vaginal Agenesis ◽  
Vaginal Reconstruction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Vaginal Atresia ◽  
Rectovestibular Fistula

Background The authors of this article became aware of significant differences in the management of two females with a rectovestibular fistula and associated vaginal agenesis. In one patient, a sigmoid colovaginoplasty was performed at the time of the posterior sagittal anorectoplasty (PSARP), and the other underwent repair of the rectovestibular fistula with a primary PSARP, but the surgeons elected to delay the timing of vaginal reconstruction. We decided to review the literature, to establish if recommendations could be made to optimize the management of these children based on current evidence. Methods A literature review was conducted to determine the management and long-term outcomes in patients with an anorectal malformation and associated vaginal atresia. Specific gynecological outcomes assessed were menstrual egress and adequacy of the vaginal replacement for penile–vaginal intercourse. Results Eighty-eight cases were included in the review. Age at diagnosis had a bimodal distribution: 0 to 5 years, 56%; >10 years, 37%. Vaginal atresia was recognized before the operation in 45 patients. Types of vaginal atresia encountered were: (a) distal vaginal atresia (n = 17), (b) vaginal agenesis with absent Mullerian development (n = 47), (c) vaginal agenesis with variable Mullerian development (n = 17), and (d) cervico-vaginal agenesis (n = 7). Types of vaginal replacement used were sigmoid colovaginoplasty (n = 26), distal rectal fistula as neovagina (n = 30), terminal ileum (n = 5), vaginal pull-through (n = 9), and others/unknown (n = 8). Two patients followed a perineal dilatation program and nine patients await reconstruction. Median follow-up was 18 months (6 weeks to 31 years). Long-term menstrual outcomes were reported in 18 (21%) patients. Sexual function was reported in 10 (11%) patients. Three pregnancies were reported but none resulted in live births. Conclusion Vaginal atresia is often missed in association with ARMs. Management should be in collaboration with pediatric gynecologists. Due to a lack of long-term outcome data, no definite conclusion can be drawn for the best technique, tissue, or timing of vaginal replacement. The opportunity to perform vaginal replacement in conjunction with the rectal repair may be worth considering because of a shallower pelvis, nonscarred tissue planes, and the excellent surgical exposure.

Reconstruction of the hypopharynx after free jejunum flap failure: Is a second free jejunum transfer feasible?

Oral Oncology ◽  
2008 ◽  
Vol 44 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Giulia Bertino ◽  
Marco Benazzo ◽  
Antonio Occhini ◽  
Patrizia Gatti ◽  
Roberto Spasiano ◽  
...  
Keyword(s):  
Flap Failure ◽  
Free Jejunum Flap

Vaginal Reconstruction in Gynecological Oncology

1981 ◽  
Vol 36 (1) ◽  
pp. 1-10 ◽  
Author(s):  
J. F. MAGRINA ◽  
B. J. MASTERSON
Keyword(s):  
Vaginal Reconstruction ◽  
Gynecological Oncology

Vaginal reconstruction with a sigmoid loop

1966 ◽  
Vol 96 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Joseph H. Pratt ◽  
George R. Smith
Keyword(s):  
Vaginal Reconstruction

VAGINAL RECONSTRUCTION AFTER PELVIC EXENTERATION

2003 ◽  
Vol 111 (3) ◽  
pp. 1365
Author(s):  
Mario Rietjens
Keyword(s):  
Pelvic Exenteration ◽  
Vaginal Reconstruction

Vaginal Reconstruction with Bilateral Island “Extended” Groin Flaps

1994 ◽  
Vol 94 (7) ◽  
pp. 1079-1084 ◽  
Author(s):  
Francesco Moschella ◽  
Adriana Cordova
Keyword(s):  
Vaginal Reconstruction

scholarly journals Vaginal reconstruction after pelvic exenteration with a vertical deep inferior epigastric perforator flap in 10 steps

2020 ◽  
Vol 30 (12) ◽  
pp. 2015-2016
Author(s):  
Martina Aida Angeles ◽  
Carlos Martínez-Gómez ◽  
Alejandra Martinez ◽  
Thomas Meresse ◽  
Dimitri Gangloff ◽  
...  
Keyword(s):  
Pelvic Exenteration ◽  
Perforator Flap ◽  
Vaginal Reconstruction ◽  
Deep Inferior Epigastric Perforator
Sign in / Sign up

Export Citation Format

Share Document