[Myoperitoneal composite flaps: a new surgical principle for vaginal reconstruction].
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.
Höckel
M
M
Klinik für Geburtshilfe und Frauenheilkunde, Johannes Gutenberg-Universität Mainz.
Konerding
M A
MA
Baussmann
E
E
Weikel
W
W
Wilkens
C
C
Knapstein
P G
PG
D000230:Adenocarcinoma / Q000601:surgery; D002278:Carcinoma in Situ / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012004:Rectal Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D013536:Suture Techniques; D014189:Transsexualism / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000601:surgery*