title: Combined cervical and vaginal reconstruction with prefabricated pudendal thigh flap in a case with cervical and vaginal agenesis (MURCS syndrome): a new and original technique.
abstract: In the presence of functional endometrium, in addition to the construction of anatomically, functionally normal and sensitive neovagina and cervix, the preservation of the uterus for future possible pregnancies must also be considered as the main goal in this process. So far, hysterectomy was the general treatment modality in such cases. For maintaining cervical patency, there were no reports in the literature related to cervical prefabrication using flaps. In this report we present a case with cervical and vaginal agenesis (MURCS syndrome). In this case combined cervical and vaginal reconstructions were successfully performed by using bilateral pudendal thigh flaps; a real-like cervix and cervical canal had been previously prefabricated on the distal part of one of the pudendal thigh flaps. Sensitivity and function were both preserved and maintained at the end of this operation.
authors.affiliation: Department of Plastic Surgery, Inonu University, T. Ozal Medical Center, Malatya, Turkey. agurlek@inonu.edu.tr
authors.forename: Ali
authors.initials: A
authors.lastname: Gürlek
authors.forename: Serkan S
authors.initials: SS
authors.lastname: Aslan
authors.forename: Cemal
authors.initials: C
authors.lastname: Firat
authors.forename: Ayçse
authors.initials: A
authors.lastname: Ozturk-Ersoz
authors.forename: Feza
authors.initials: F
authors.lastname: Burak
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery*; D004909:Erythrocyte Indices; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013577:Syndrome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*