Vaginal reconstruction with a rectus abdominis musculoperitoneal flap.
In more than 300 clinical cases, the authors have observed and documented the presence of a branch of the deep inferior epigastric artery that penetrates the posterior rectus sheath near the umbilicus. Their cadaveric anatomic and animal injection studies confirm the vascularity of the peritoneum via the deep inferior epigastric artery. They report 2 patients treated with a new technique of vaginal reconstruction using a thin, pliable flap with a peritoneal-lined rectus abdominis muscle based on the deep inferior epigastric vessels.
Niazi
Z B
ZB
Department of Surgery, New York Medical College, Westchester Medical Center, Valhalla 10595, USA.
Kutty
M
M
Petro
J A
JA
Kogan
S
S
Chuang
L
L
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D014621:Vagina / Q000601:surgery*