[Study of concurrent reconstruction of posterior wall of vagina with pedicled muscular flap of uterus after resection of rectum carcinoma].
OBJECTIVE
To investigate the reconstructional method of posterior wall of vagina after the resection of rectum carcinoma.


METHODS
From August 1991 to March 1996, 10 patients with rectum carcinoma were adopted in this study, among them, there were 4 cases belong to B stage of Dukas, and 6 cases belong to C stage of Dukes. In operation, rectum carcinoma and posterior wall of vagina were resected, and concurrent reconstruction was finished by using pedicled muscular flap of uterus.


RESULTS
The effect of operation were satisfactory except one case who was failed because of insufficient blood supply of the flap. Followed-up for 3-6 months, the posterior wall of vagina healed in 7 cases, the width of vagina was 2-3 fingers and the depth was 5-6 cm.


CONCLUSIONS
Reconstruction of the posterior wall of vagina with pedicled muscular flap of uterus was available in clinic. For its simplicity and feasibility, it's suitable for the resection of rectum carcinoma in which the posterior wall of vagina was infiltrated.
Cao
H M
HM
Department of Colonic Cancer, Zhejiang Cancer Hospital, Hangzhon, Zhejiang, P. R. China 310022.
Zhang
X D
XD
Lou
R C
RC
D000328:Adult; D018270:Carcinoma, Ductal, Breast / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012004:Rectal Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000601:surgery*