title: Modified rotational bowel vaginoplasty after total pelvic exenteration.
abstract: Vaginal reconstructive options commonly include the use of split-thickness skin grafts or intestinal conduits. When a colonic segment is chosen, the sigmoid colon is favored because of its location, size, and durability. When circumstances preclude the use of sigmoid colon and a colonic conduit is preferred, creative means of mobilization are required. This article describes a case and technique utilizing the descending colon in a tension-free vaginoplasty.
authors.affiliation: Department of General Surgery, St. Elizabeth Health Center/Northeastern Ohio Universities Colleges of Medicine, Youngstown, OH 44501, USA. jonathan.ferrari.md@gmail.com
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Ferrari
authors.forename: Amani F
authors.initials: AF
authors.lastname: Hemphill
authors.forename: Jie
authors.initials: J
authors.lastname: Xu
authors.forename: Ramon A
authors.initials: RA
authors.lastname: DeJesus
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D012809:Colon, Sigmoid / Q000098:blood supply / Q000637:transplantation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000601:surgery; D010385:Pelvic Exenteration / Q000009:adverse effects*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D014594:Uterine Neoplasms / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000601:surgery*