Reconstruction of the anus, rectovaginal septum, and distal part of the vagina after postirradiation necrosis. Report of a unique case.
Successful repair of postirradiation total loss of the anal sphincters, rectovaginal septum, and distal part of the vagina is reported. Gracilis muscle flap was used as a substitute sphincter. Part of the muscle was "wrapped-up" in a split skin graft. To the authors' knowledge, this is the first report on new application of gracilis muscle and split skin graft in perineal reconstruction.
D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D005260:Female; D006801:Humans; D011832:Radiation Injuries / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D012007:Rectum / Q000601:surgery*; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000532:radiotherapy