Microvascular augmented pedicled jejunum transfer for vaginal reconstruction using a laparoscopy-assisted technique.
Although there is no distinct, absolute, and ideal method for vaginal reconstruction, intestinal transfers are preferable to the other described techniques in the main clinics. In this report, we describe the transfer of a jejunal segment for vaginal reconstruction in a 20-year-old female patient, harvesting the flap based on its vascular pedicle by means of a laparoscopic technique that obviates the use of midline laparotomy. To prevent any vascular compromise, two different vascular supply sources were provided for the flap performing additional arterial and venous microvascular anastomosis. The results have confirmed the feasibility of the technique. The functional, structural, and esthetic advantages of the jejunal flap and the lower donor site morbidity of the laparoscopy-assisted technique that were rather encouraging are described and discussed.
Ozkan
Omer
O
Department of Plastic and Reconstructive Surgery, Akdeniz University Faculty of Medicine, Antalya, Turkey. omozkan@hotmail.com
Akar
Münire Erman
ME
Ozkan
Ozlenen
O
Mesci
Ayhan
A
Colak
Taner
T
D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005833:Genital Neoplasms, Female / Q000473:pathology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007583:Jejunum / Q000098:blood supply* / Q000637:transplantation*; D010535:Laparoscopy / Q000379:methods*; D008833:Microcirculation / Q000502:physiology; D008866:Microsurgery / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000098:blood supply / Q000601:surgery*; D055815:Young Adult